KIMBERLY ANN MOON – Certified Registered Nurse Anesthetist, NPI 1083172969
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
377 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ND
Provider Addresses for KIMBERLY ANN MOON
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone:
Type: Mailing
3000 32nd Ave S
Fargo, ND 581036132
Phone: (218) 364-8000
Type: Location
Sanford Medical Center Fargo, 5225, 23rd Avenue South, Amber Valley, Fargo, Cass County, North Dakota, 58122, United States
FARGO, ND 581047927
Phone: (701) 417-2575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Heron Therapeutics, Inc. | $16 |
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: 2019-04-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190404002225 | I | Certified Registered Nurse Anesthetist (Crna) | ND | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 22 | 22 | $0 |
| 01230 | Anesthesia for procedure on upper 2/3rd of thigh bone | 13 | 13 | $0 |
Insurance plans in this area (ZIP 57117)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | ND | |
| Interventional Radiology | ND | |
| General Surgery | MN | |
| Nurse Practitioner | ND | |
| Physical Therapist In Private Practice | ND | |
| Nurse Practitioner | ND | |
| Hospitalist, Internal Medicine | ND | |
| Family Practice | ND | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | ND |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.