Active NPI
Raveen Mooney, MMS, PA-C
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18026
- Practice address
- 319 Congress Ave Ste 100
Austin, TX 78701-3692 - Phone
- (888) 663-6331
- NPI assigned
- Jun 6, 2021
- Last updated
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA18026 | TX | MD | Physician Assistant |
| PENDING | DC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Provider Group PLLC | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| TMC Provider Group PLLC | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Cornerstone Health Care LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Seton Family of Doctors | Current | 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
- 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.
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- NPI 1588997233
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dba Texas MedClinic
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-
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- Orthopaedic Surgery Physician
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- NPI 1437607686
-
dba Atrium Health Wake Forest Baptist Pediatrics - Greensboro
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
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- NPI 1275290694
-
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- Kyle, TX
- NPI 1730412388
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dba Texas MedClinic
- Urgent Care Clinic/Center
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dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
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dba Atrium Health Urgent Care
- Family Medicine Physician
- Matthews, NC
- NPI 1700079225
-
dba Cornerstone Physical Therapy
- Physical Medicine & Rehabilitation Physician
- High Point, NC
- NPI 1285759639
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.