Tammy Lynn Moon, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP023913 Issued in PA

Practice address

2425 Garden Way Ste 102
Hermitage, PA 16148-5215

Phone

(724) 981-1777

Fax

(724) 342-2879

NPI assigned

Nov 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Primary Care ServicesGroup PAC ID 0244452258, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharon Regional Medical Center Hospital, Sharon, PA, CCN 390211

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Primary Care Services

  • Internal Medicine Physician
  • Meadville, PA
  • NPI 1962804955
  Medicare reassignment Care Compare group NPD
• Meadville Medical Center

  • Multi-Specialty Clinic/Center
  • Meadville, PA
  • NPI 1124083928
  Medicare reassignment Care Compare group
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment NPD
• Meadville Medical Center

  • Family Medicine Physician
  • Mercer, PA
  • NPI 1811886575
  NPD (past)
• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  NPD (past)
• Regional Counseling Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oil City, PA
  • NPI 1053440958
  NPD (past)

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

• Tenor Health Foundation Sharon, LLC

  • General Acute Care Hospital
  • Sharon, PA
  • NPI 1235940909
  Care Compare affiliation
• Tenor Health Foundation Sharon, LLC

  dba Sharon Regional Medical Center

  • Psychiatric Hospital Unit
  • Sharon, PA
  • NPI 1659182269
  Care Compare affiliation

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1386300150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FAIRFIELD DR",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462130",
            "telephone_number": "814-676-7863",
            "fax_number": "814-676-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 GARDEN WAY STE 102",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485215",
            "telephone_number": "724-981-1777",
            "fax_number": "724-342-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Minton Sr., DPM
• T David Mistretta, D.C.
• Mobile Freedom LLC
• Momentum Therapeutics
• Monarch Mental Health Services, LLC
• Susan Marie Moore, M.S.W.
• Tawnya Moore, MOT, OTR/L
• Robert B Morgenstern, MD
• Barry E Morris, DC
• Daniel Jack Moschillo, D.C.

• Nurse Practitioner in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.

Verify at the official NPI Registry.