Individual provider Active NPI

Naresha N Hill-Moon, NP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1366112765
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1054618 Issued in TX
Practice address
14100 Nacogdoches Rd Ste 116
San Antonio, TX 78247-1907
Phone
(210) 653-8989
Fax
(210) 590-4608
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1054618 TX Primary

Addresses

Primary practice location

14100 Nacogdoches Rd Ste 116
San Antonio, TX 78247-1907

Mailing address

14100 Nacogdoches Rd Ste 116
San Antonio, TX 78247-1907
Phone (210) 653-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210924000057 TX Practitioner - Nurse Practitioner 2163829755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Ancillary Services LTDGroup PAC ID 1456677087, 28 clinicians
GMG Health Systems Associates PAGroup PAC ID 8123932647, 115 clinicians

Practice addresses (Care Compare)

1499 Hillcrest Dr
San Antonio, TX 78228-3900
Phone (210) 921-6600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GMG Health Systems Associates PA CurrentSince Apr 1, 2024 Accepting new patients
South Texas Ancillary Services, LTD CurrentSince Apr 1, 2024 Accepting new patients

Locations

1499 Hillcrest Dr
San Antonio, TX 78228
Phone (210) 921-6600

7219 Culebra Rd
San Antonio, TX 78251
Phone (210) 509-2603

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1366112765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 NACOGDOCHES RD STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471907",
            "telephone_number": "210-653-8989",
            "fax_number": "210-590-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 NACOGDOCHES RD STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471907",
            "telephone_number": "210-653-8989",
            "fax_number": "210-590-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL-MOON",
        "first_name": "NARESHA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1054618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.