MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1114149093

MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) is a healthcare provider. based in Papillion, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA326 (AR). The NPI Number for MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) is 1114149093

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT)
NPI
1114149093
Phone
(402) 933-6300
Address
312 OLSON DR
Enumeration Date
2 May 2007
Last Update Date
23 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024650010
Graduation Year
2005 (21 years ago)
PAC ID
6002088226
Group Practice PAC ID
0840331096
Professional Enrollment ID
I20180219002604
Address ID
NE685214746LI4900XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT)

  • 312, Olson Drive, Papillion, Sarpy County, Nebraska, 68046, United States

    PAPILLION, NE 680462978

    Phone: (402) 933-6300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

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: 2018-02-19

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
I20180219002604IPhysician AssistantNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes125101$0
99203New patient office or other outpatient visit, 30-44 minutes124124$0
87804Detection test by immunoassay with direct visual observation for influenza virus4920$0
81003Automated urinalysis test3734$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected2424$0
View full utilization report →

Insurance plans in this area (ZIP 68046)

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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: 0840331096View full group profile
NameSpecialtyState
Physician AssistantNE
Physician AssistantNE
Family PracticeNE
O B S T E T R I C S/ G Y N E C O L O G YNE
Physician AssistantNE

Reviews

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Frequently asked questions

Can I verify MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) with an NPI only?
You can start verification with NPI 1114149093 for MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT), then check state licensing separately.
Can I rely on MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) being an active provider?
As of the registry snapshot, MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) is marked active.
What taxonomy line describes MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT)?
For research purposes, treat MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) on a map?
Expect Papillion, Nebraska as a primary anchor for MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) unless the record lists multiple sites.
Why does MR. JAMES MICHAEL MOONEY (PHYSICIAN ASSISTANT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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