Individual provider Active NPI

Raveen Mooney, MMS, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1194392506
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18026 Issued in TX
Practice address
319 Congress Ave Ste 100
Austin, TX 78701-3692
Phone
(888) 663-6331
NPI assigned
Jun 6, 2021
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PENDING DC
Physician Assistant 363A00000X PA18026 TX Primary

Addresses

Primary practice location

319 Congress Ave Ste 100
Austin, TX 78701-3692

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240919004271 TX Practitioner - Physician Assistant 0648675918 Reassigns benefits to 2 organizations
I20250317002237 NC Practitioner - Physician Assistant 0648675918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1404 Willow LN
Suite a
North Wilkesboro, NC 28659-3584
Phone (336) 667-4178

1771 Tate Seblvd
Hickory, NC 28602-4249
Phone (336) 716-2255

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18026TXMDPhysician Assistant
PENDINGDCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Nov 18, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince Feb 24, 2025 Accepting new patients
TMC Provider Group PLLC CurrentSince Nov 18, 2024 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Feb 24, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Oct 1, 2024 Accepting new patients
Cornerstone Health Care LLC CurrentSince Feb 24, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 24, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 24, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Oct 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

171 W Wilkes Medical Center Rd
Ferguson, NC 28624
Phone (336) 973-7050

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

151 Medical Park Dr
Jefferson, NC 28640
Phone (336) 246-7161

13 Medical Park Dr
Lexington, NC 27292
Phone (336) 236-4000

1916 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 839-9563

799 Hickory Tree Rd
Winston Salem, NC 27127
Phone (336) 702-1253

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

319 Congress Ave
Ste 100
Austin, TX 78701
Phone (512) 491-1095

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Interoperability endpoints

  • Direct secure messaging: rmooney818244@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1194392506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 CONGRESS AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013692",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "RAVEEN",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.