MS. CHARLENE H. MOON (NP) – Nurse Practitioner, NPI 1457414195

MS. CHARLENE H. MOON (NP) is a healthcare provider. based in Fort stewart, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN046402 (GA). The NPI Number for MS. CHARLENE H. MOON (NP) is 1457414195

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHARLENE H. MOON (NP)
NPI
1457414195
Phone
(912) 435-5353
Address
1061 Harmon Ave
Enumeration Date
17 December 2006
Last Update Date
3 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9126445200
Graduation Year
2005 (21 years ago)
PAC ID
5193731511
Group Practice PAC ID
1658367727
Professional Enrollment ID
I20060222000541
Address ID
GA314012391SA107XXBXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MS. CHARLENE H. MOON (NP)

  • 1061 Harmon Ave

    Fort Stewart, GA 313145641

    Phone: (912) 435-5353

    Type: Location

  • 150 SCRANTON CONNECTOR

    BRUNSWICK, GA 315250540

    Phone: (912) 262-2300

    Type: Mailing

  • 107, Fahm Street, Yamacraw Village, Savannah, Chatham County, Georgia, 31401, United States

    SAVANNAH, GA 314012391

    Phone: (912) 651-2253

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $2,219.

Total Amount is formed as General ($2,219) + Research ($0) + Ownership ($0) = $2,219.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: ViiV Healthcare Company ($929).

Total Amount

$2,219

General + Research + Ownership

Payments

94

Total payment records

General Amount

$2,219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060222000541INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658367727View full group profile
NameSpecialtyState
-GA
Family PracticeGA
-GA
Nurse PractitionerGA
Nurse PractitionerWV
Nurse PractitionerGA
Family Practice, General PracticeGA

Reviews

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Frequently asked questions

How do payers reference MS. CHARLENE H. MOON (NP)?
For MS. CHARLENE H. MOON (NP), use NPI 1457414195 as the unique 10-digit identifier.
Would MS. CHARLENE H. MOON (NP) appear as active to a payer?
You can treat MS. CHARLENE H. MOON (NP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MS. CHARLENE H. MOON (NP)?
MS. CHARLENE H. MOON (NP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is MS. CHARLENE H. MOON (NP) registered?
Use Fort Stewart, Georgia as the headline location for MS. CHARLENE H. MOON (NP) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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