Moon Chong, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA-10655-NP Issued in OH

Practice address

940 London Ave
Suite 1100
Columbus, OH 43215-5331

Phone

(937) 642-5053

Fax

(937) 642-9725

NPI assigned

May 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.78 of 100Reported as group

Quality

71.59

Promoting interoperability

100

Improvement activities

40

Cost

84.34

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Little Clinic of Ohio LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982761896
  Medicare reassignment NPD
• Union County

  • Community Health Clinic/Center
  • Marysville, OH
  • NPI 1104875541
  Medicare reassignment NPD
• Commonwealth of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Norfolk, VA
  • NPI 1386686731
  Medicare reassignment NPD
• Commonwealth of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Hillsville, VA
  • NPI 1528002235
  NPD
• Commonwealth of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Arrington, VA
  • NPI 1679580922
  NPD
• Commonweatlh of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Bristol, VA
  • NPI 1053355859
  NPD

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1992939425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 LONDON AVE STE 1100",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408037",
            "telephone_number": "937-642-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 LONDON AVE",
            "address_2": "SUITE 1100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155331",
            "telephone_number": "937-642-5053",
            "fax_number": "937-642-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "MOON",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA-10655-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2954334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakia Choice
• Choices for Victims of Domestic Violence
• Liza Krassimirova Cholin, M.D.
• Jennifer Chomin
• Lori S. Chong, RD, LD
• Yumiko Chongsiriwatana
• Areeporn Chonhenchob, M.D.
• Douglas J Chonko, DO
• Todd Ernest Chontos, O.D.
• Jahnavi Chopra

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.