Misti Jayne Moon-Harris, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

73220 Issued in OK

Practice address

8125 S Walker Ave Ste a
Oklahoma City, OK 73139-9417

Phone

(405) 619-4479

NPI assigned

Mar 13, 2018

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 OK

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elite Pain and Health PCGroup PAC ID 5193017085, 5 clinicians

NR Norman LLCGroup PAC ID 3072988898, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: misti.moonharris.p11@direct.okc.nextgenshare.com

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.

• Elite Pain & Health PC

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
  • NPI 1700235645
  Medicare reassignment Care Compare group NPD
• NR Norman LLC

  • Family Medicine Physician
  • Norman, OK
  • NPI 1942919998
  Medicare reassignment Care Compare group NPD
• Elite Pain & Health PC

  • Interventional Pain Medicine Physician
  • Moore, OK
  • NPI 1376192294
  NPD
• NR Midwest City LLC

  • Physical Medicine & Rehabilitation Physician
  • Midwest City, OK
  • NPI 1558063784
  NPD (past)

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1487157772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 NW 33RD ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656580",
            "telephone_number": "405-410-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 S WALKER AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399417",
            "telephone_number": "405-619-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON-HARRIS",
        "first_name": "MISTI",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "73220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moody Nutrition LLC
• Brent Warren Moody, D.D.S.
• Qiana S Moody
• Jamie Mook
• Destiny Faith Moomey
• Alice Louise Moon
• Amber Lee Moon, CRNA
• Gina Moon
• Hsiao-Wen Eunice Moon, LPC
• Jodell Lynn Moon, M.ED., LPC, LMHC

• Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.