Individual provider Active NPI

Melissa Shigeyo Moon, CNP

  • Family Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1114432333
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0032127 Issued in OH
Practice address
1010 Refugee Rd
Pickerington, OH 43147-9653
Phone
(614) 788-4000
Fax
(614) 788-8470
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0032127 OH Primary
Internal Medicine Physician 207R00000X 421859 OH

Addresses

Primary practice location

1010 Refugee Rd
Pickerington, OH 43147-9653

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

524 W Broad St
Columbus, OH 43215-2775
Phone (614) 746-4731

Other names 1

  • Melissa Shigeyo Shannon Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmoon1279875@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004003078 OH Practitioner - Nurse Practitioner 1557716974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1010 Refugee Rd
Pickerington, OH 43147-9653
Phone (380) 243-3395

495 Cooper Rd
Suite 212
Westerville, OH 43081-8735
Phone (614) 663-3501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0032127OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Mount Carmel Healthproviders Two LLC Current Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Aug 27, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2025 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

Dept L3652
Columbus, OH 43260

5965 E Broad St
Ste 260
Columbus, OH 43213
Phone (614) 627-1390

5300 N Meadows Dr
Bldg 1
Grove City, OH 43123
Phone (614) 627-1620

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

495 Cooper Rd
Ste 212
Westerville, OH 43081
Phone (614) 627-1400

495 Cooper Rd
Ste 211
Westerville, OH 43081
Phone (380) 898-6091

Interoperability endpoints

  • Direct secure messaging: mmoon1148074@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1114432333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 REFUGEE RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479653",
            "telephone_number": "614-788-4000",
            "fax_number": "614-788-8470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432152775",
            "country_code": "US",
            "telephone_number": "614-746-4731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "MELISSA",
        "middle_name": "SHIGEYO",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0032127",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "421859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoon1279875@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "1010 Refugee Rd",
            "city": "Pickerington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431479653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SHANNON",
            "middle_name": "SHIGEYO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.