Moonshot Psychiatric Nurse Practitioner PC
NPI 1669158879 · Psychiatric/Mental Health Nurse Practitioner · Seattle, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moonshot Psychiatric Nurse Practitioner PC is a Psychiatric/Mental Health Nurse Practitioner organization in Seattle, WA (NPI 1669158879).
Provider details
- NPI number
- 1669158879
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brighid Gannon, Co-Founder(855) 444-7258
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
22 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
Additional practice locations (21)
- 777 W Putnam Ave Ste 300Greenwich, CT 06830-5000Phone: (855) 444-7258Fax: (855) 344-8343
- 1775 I St Nw Ste 1150Washington, DC 20006-2435Phone: (855) 444-7258Fax: (855) 344-8343
- 2820 Ne 214th StAventura, FL 33180-1268Phone: (855) 444-7258Fax: (855) 344-8343
- 3455 Peachtree Rd Ne Fl 5Atlanta, GA 30326-3254Phone: (855) 444-7258Fax: (855) 344-8343
- 661 W Lake St Ste 2sChicago, IL 60661-1034Phone: (855) 444-7258Fax: (855) 344-8343
- 3815 River Crossing Pkwy Ste 100Indianapolis, IN 46240-7766Phone: (855) 444-7258Fax: (855) 344-8343
- 1040 Monarch StLexington, KY 40513-1852Phone: (855) 444-7258Fax: (855) 344-8343
- 333 Texas St Ste 1300Shreveport, LA 71101-3783
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Moonshot Psychiatric Nurse Practitioner PC's NPI number?
- Moonshot Psychiatric Nurse Practitioner PC's National Provider Identifier (NPI) is 1669158879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moonshot Psychiatric Nurse Practitioner PC?
- Moonshot Psychiatric Nurse Practitioner PC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Moonshot Psychiatric Nurse Practitioner PC located?
- Moonshot Psychiatric Nurse Practitioner PC's practice location on file with NPPES is 4803 Fremont Ave N, Seattle, WA 98103-6527.
- What is Moonshot Psychiatric Nurse Practitioner PC's phone number?
- The practice phone number listed in the NPPES registry for Moonshot Psychiatric Nurse Practitioner PC is (855) 444-7258.
- Does Moonshot Psychiatric Nurse Practitioner PC accept Medicare?
- Moonshot Psychiatric Nurse Practitioner PC 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 Moonshot Psychiatric Nurse Practitioner PC?
- The authorized official listed on Moonshot Psychiatric Nurse Practitioner PC's NPPES record is Brighid Gannon, Co-Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moonshot Psychiatric Nurse Practitioner PC's NPI active?
- Yes — Moonshot Psychiatric Nurse Practitioner PC's NPI (1669158879) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.