Alyssa Marie Moon
NPI 1497534630ActiveIndividual· Nurse Practitioner, Family· Kokomo, IN
Nurse Practitioner, Family with St Vincent Medical Group Inc and 1 other group, practicing in Kokomo, Indiana. In 2024 Medicare paid $7,661 for 62 patients, and Part D covered 65 of their prescriptions, 83% of them generic. Novo Nordisk Inc reported $49.61 in payments in 2025, mostly food and beverage. Lists Ascension St Vincent Kokomo and 1 other hospital as hospital affiliations.
Overview
| NPI | 1497534630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 27, 2023 |
| Last updated in NPPES | Nov 11, 2024 |
| Certified by provider | Nov 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 71014484A | IN |
| Nurse Practitioner | 363L00000X | 18004578283 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 72 across 11 procedure codes |
| Paid by Medicare | $7,661 |
Part D prescriptions in 2024
| Prescriptions (claims) | 65 · 82 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $4,523 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- St Vincent Medical Group IncCarmel, IN · 736 clinicians
- Memorial HospitalLoganport, IN · 61 clinicians
Hospital affiliations
- Ascension St Vincent KokomoKokomo, IN
- Memorial HospitalLogansport, IN
Other facilities
- Ascension at HomeHome health agency · Pendleton, IN
Industry payments (Open Payments)
- 2025$49.61 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $49.61 | 2 |
What the 2025 payments were for
- Food and Beverage$49.61 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 80 family nurse practitioners in Kokomo · All family nurse practitioners in Indiana