Ji Soo Moon, AG-ACNP
NPI 1043804255 · Acute Care Nurse Practitioner · Forest Hills, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ji Soo Moon, AG-ACNP is a Acute Care Nurse Practitioner provider in Forest Hills, NY (NPI 1043804255).
Provider details
- NPI number
- 1043804255
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN2324806 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
5 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 27 | 26 |
| Cefadroxil | 20 | 18 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$330 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 55 Lake Ave NWorcester, MA 01655-0002Phone: (508) 334-1000
Registry dates
- Enumerated
- 2021-02-28
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Frequently asked questions
- What is Ji Soo Moon's NPI number?
- Ji Soo Moon's National Provider Identifier (NPI) is 1043804255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ji Soo Moon's specialty?
- Ji Soo Moon is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ji Soo Moon located?
- Ji Soo Moon's practice location on file with NPPES is 10201 66th Rd, Forest Hills, NY 11375-2029.
- What is Ji Soo Moon's phone number?
- The practice phone number listed in the NPPES registry for Ji Soo Moon is (718) 830-4000.
- Does Ji Soo Moon accept Medicare?
- Ji Soo Moon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ji Soo Moon's NPI active?
- Yes — Ji Soo Moon's NPI (1043804255) is active in the NPPES registry as of the last update on 2023-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.