Active NPI
Aaron Richard Moon, PA
- Medical Physician Assistant
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3799
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 831-1841
- Fax
- (920) 831-1834
- NPI assigned
- Aug 1, 2016
- Sex
- Male
- 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 | |||
| Medical Physician Assistant | 363AM0700X | 3799 | WI | Primary |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 831-1841
Other practice location 1
1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1818 N Meade St
Appleton, WI 54911-3454
1818 N Meade St Room
N255
Appleton, WI 54911-3454
Phone (920) 730-3383
2500 E Capital Dr
Appleton, WI 54911-8735
3 Neenah Ctr
Neenah, WI 54956-3070
333 N Green Bay Rd
Neenah, WI 54956-1954
Phone (920) 720-2300
4480 W Spencer St
Appleton, WI 54915
Phone (920) 738-4800
520 W 3Rd St
Kimberly, WI 54136-1300
Phone (920) 788-7680
600 N Westhaven Dr
Oshkosh, WI 54904-6926
Phone (920) 725-0077
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000
900 E Grant St
Thedacare Orthopedic Care
Appleton, WI 54911-3454
Phone (920) 831-5050
Hospital & facility affiliations
- Thedacare Regional Medical Center - Appleton Inc
- Thedacare Regional Med Ctr - Neenah
- Thedacare Medical Center - Shawano
- Thedacare Medical Center - New London
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3799 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
1818 N Meade St
Ste 130
Appleton, WI 54911
Phone (920) 410-7310
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
250 W 6th Ave
Oshkosh, WI 54902
Phone (920) 237-5000
Interoperability endpoints
- amoon220545@direct.emplifyhealth.org
- amoon314184@direct.thedacare.org
Organizations & group practices 9
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.
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Clinic/Center
- La Crosse, WI
- NPI 1952915639
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
- Clinic/Center
- Fox Point, WI
- NPI 1053090456
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
- Counselor
- Menasha, WI
- NPI 1306959515
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clintonville, WI
- NPI 1144675745
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1740920909
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1497119218
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1689038408
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1831773589
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1912721002
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912880329
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1023472842
-
- General Acute Care Hospital
- Menasha, WI
- NPI 1720434806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1477006013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-831-1841",
"fax_number": "920-831-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-831-1841",
"fax_number": "920-831-1834"
}
],
"practiceLocations": [
{
"address_1": "1836 South Ave",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546015429",
"country_code": "US",
"telephone_number": "608-782-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOON",
"first_name": "AARON",
"middle_name": "RICHARD",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-01",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "3799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.