Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154772465 Individual Practitioner Female Practitioner

Debra A Moon , NNP

Nurse Practitioner - Neonatal • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Debra Moon, NNP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Indianapolis, IN. Practice services are available at 8111 TOWNSHIP LINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8111 Township Line Rd

Indianapolis, IN 462602479

Telephone 3174157921
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
118 Specialists

Practicing in Indianapolis, IN (160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License IN 71006265A

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201412030 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043420581

Doctor of Medicine (M.D.)

Dr. Caroline Maylock , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1053301143

Doctor of Medicine (M.D.)

Amy Mowery , NNP

Nurse Practitioner - Neonatal, Critical Care

NPI 1063662252
Kathleen Stuart

Nurse Practitioner - Neonatal

NPI 1073375218
Dr. Shaun Hicks , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1073618575

Doctor of Medicine (M.D.)

NPI 1104061704

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2017

Registered at 8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 462602479 (Tel: 3174157921)

📍
Updated Business Mailing Address April 19, 2017

Registered at 10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 462901024

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as DEBRA MOON, NNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Nurse Practitioner (License #71006265A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2017

Nurse Practitioner (License #28159031 in IN)

NPI Profile Active December 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2016

Registered at 705 RILEY HOSPITAL DR, RR 208, INDIANAPOLIS, IN 462025109 (Tel: 3172744715)

📍
Updated Business Mailing Address December 22, 2016

Registered at PO BOX 1026, INDIANAPOLIS, IN 462061026 (Tel: 3177776435)

👤
Provider Name / Credentials Updated December 22, 2016

Recorded as DEBRA MOON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2016

Nurse Practitioner (License #71006265A in IN)

🟢
Initial NPI Registration & Enumeration June 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154772465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2016
Last Update: April 19, 2017
Sole Proprietor: No

Mailing Address

10330 N Meridian St # 300

Indianapolis, IN 462901024

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.