NPIMap

Individual provider Active NPI

Andrea Patt Moon, P.A.

  • Physician Assistant
  • Castle Pines, CO
National Provider Identifier
1710054143
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2104 Issued in CO
Practice address
7280 Lagae Rd Ste J
Castle Pines, CO 80108-9454
Phone
(303) 814-0505
Fax
(303) 814-6491
NPI assigned
Nov 29, 2006
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2104 CO Primary

Addresses

Primary practice location

7280 Lagae Rd Ste J
Castle Pines, CO 80108-9454

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 357-2559

Other practice location 1

1421 S Potomac St Ste 210
Aurora, CO 80012-4512
Phone (303) 337-8283

Other identifiers 1

IdentifierTypeStateIssuer
9000157407MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125000714 CO Practitioner - Physician Assistant 2062715170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onpoint Medical Group LLCGroup PAC ID 0143598458, 93 clinicians

Practice addresses (Care Compare)

7280 Lagae Rd
Suite J
Castle Pines, CO 80108-9454
Phone (303) 814-0505

7335 S Pierce St
Columbine Family Practice
Littleton, CO 80128-4571
Phone (303) 979-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.74 of 100Reported as group
Quality
77.46
Promoting interoperability
0
Improvement activities
40
Cost
75.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2104COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Medical Group, LLC CurrentSince Sep 15, 2024 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Sep 15, 2024 Accepting new patients
Pahs Onpoint Urgent Care LLC PastSince Sep 8, 2019 Accepting new patients
Pahs Onpoint Urgent Care LLC Past Accepting new patients
Onpoint Medical Group, LLC Past Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

7280 Lagae Rd
Ste J
Castle Pines, CO 80108
Phone (303) 814-0505

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

9695 S Yosemite St
Ste 150
Lone Tree, CO 80124
Phone (303) 317-4878

Interoperability endpoints

  • Direct secure messaging: andrea.moon.1@9821.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1710054143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559",
            "fax_number": "303-814-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD STE J",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089454",
            "telephone_number": "303-814-0505",
            "fax_number": "303-814-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 S Potomac St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124512",
            "country_code": "US",
            "telephone_number": "303-337-8283",
            "fax_number": "303-752-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "ANDREA",
        "middle_name": "PATT",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000157407",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

Verify at the official NPI Registry.