Moontower Wellness, LLC
NPI 1295092252 · Psychiatry Physician · Broomfield, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moontower Wellness, LLC is a Psychiatry Physician organization in Broomfield, CO (NPI 1295092252).
Provider details
- NPI number
- 1295092252
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Weatherby, Member/Manager(512) 522-7708
- License
- N6094 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Moontower Mental Wellness, PLLC
Additional practice locations (1)
- 1154 Lydia St Ste 110Austin, TX 78702-2619Phone: (512) 522-7708Fax: (512) 233-0824
Registry dates
- Enumerated
- 2012-04-16
- Last updated
- 2024-05-09
- Certified
- 2024-05-09
Frequently asked questions
- What is Moontower Wellness, LLC's NPI number?
- Moontower Wellness, LLC's National Provider Identifier (NPI) is 1295092252, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moontower Wellness, LLC?
- Moontower Wellness, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Moontower Wellness, LLC located?
- Moontower Wellness, LLC's practice location on file with NPPES is 11705 Airport Way Ste 205, Broomfield, CO 80021-2710.
- What is Moontower Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Moontower Wellness, LLC is (512) 522-7708.
- Does Moontower Wellness, LLC accept Medicare?
- Moontower Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Moontower Wellness, LLC?
- The authorized official listed on Moontower Wellness, LLC's NPPES record is William Weatherby, Member/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moontower Wellness, LLC's NPI active?
- Yes — Moontower Wellness, LLC's NPI (1295092252) is active in the NPPES registry as of the last update on 2024-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.