Individual provider Active NPI

Nakeda Luna Moulton, NP

  • Family Nurse Practitioner
  • Hempstead, NY
National Provider Identifier
1881324515
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349669 Issued in NY
Practice address
60 Manor Ave
Hempstead, NY 11550-3537
Phone
(347) 262-4494
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349669 NY Primary

Addresses

Primary practice location

60 Manor Ave
Hempstead, NY 11550-3537

Mailing address

60 Manor Ave
Hempstead, NY 11550-3537

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Northwell Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230323002226 NY Practitioner - Nurse Practitioner 6800260373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

12 Medical Dr
Suite B
Port Jefferson Station, NY 11776-1588
Phone (212) 803-3339

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339

181 Main St
Suite 210
Huntington, NY 11743-6918
Phone (212) 803-3339

7600 Jericho Tpke
Woodbury, NY 11797-1728
Phone (212) 803-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
349669NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Feb 28, 2023 Accepting new patients
Mission Medical Care PC Family CurrentSince Jul 28, 2025 Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

2001 Marcus Ave
Ste W290
North New Hyde Park, NY 11042
Phone (516) 238-9282

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nakedamoulton@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1881324515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MANOR AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MANOR AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503537",
            "telephone_number": "347-262-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "NAKEDA",
        "middle_name": "LUNA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Northwell",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HPI",
            "address_1": "60 Manor Ave",
            "city": "Hempstead",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115503537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.