Individual provider Active NPI

Jennifer Moon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1881150746
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25424 Issued in TN
Practice address
1009 N Thompson LN
Murfreesboro, TN 37129-4351
Phone
(615) 867-1111
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25424 TN Primary

Addresses

Primary practice location

1009 N Thompson LN
Murfreesboro, TN 37129-4351

Mailing address

2632 Deerpath Dr
Christiana, TN 37037-6135
Phone (615) 995-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190401001847 TN Practitioner - Nurse Practitioner 0941541999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustpoint Hospital LLCGroup PAC ID 8325295280, 22 clinicians

Practice addresses (Care Compare)

1009 N Thompson LN
Murfreesboro, TN 37129-4351
Phone (615) 867-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25424TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustpoint Hospital LLC CurrentSince Mar 1, 2019 Accepting new patients
Trustpoint Hospital LLC Psychiatric/Mental Health CurrentSince Mar 1, 2019 Accepting new patients

Locations

1009 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 257-5601

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1881150746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 DEERPATH DR",
            "city": "CHRISTIANA",
            "state": "TN",
            "postal_code": "370376135",
            "telephone_number": "615-995-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294351",
            "telephone_number": "615-867-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.