D'ANNE STOTT MOON (CNM) – Advanced Practice Midwife, NPI 1083659395
Advanced Practice Midwife
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
113 CERTIFIED NURSE MIDWIFE (CNM) in UT
Provider Addresses for D'ANNE STOTT MOON (CNM)
1325 N 600 E STE 102
LOGAN, UT 843412684
Phone: (435) 753-9999
Fax: (435) 753-2301
Type: Mailing
1515 N 400 E Ste 105
North Logan, UT 843417595
Phone: (435) 557-0608
Fax: (801) 216-8357
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
1400 N 500 E
LOGAN, UT 843412455
Phone: (435) 716-1920
Type: Location
585 N 500 W
PROVO, UT 846011548
Phone: (435) 557-0608
Fax: (801) 216-8357
Type: Mailing
1515 N 400 E STE 105
NORTH LOGAN, UT 843417595
Phone: (435) 557-0608
Fax: (801) 216-8357
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $449.
Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($129).
Total Amount
$449
General + Research + Ownership
Payments
23
Total payment records
General Amount
$449
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $129 |
| Astellas Pharma US Inc | $102 |
| Organon LLC | $46 |
| Biogen, Inc. | $31 |
| Becton, Dickinson and Company | $30 |
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: 2021-10-18
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 |
|---|---|---|---|---|
| I20211018002802 | I | Certified Nurse Midwife (Cnm) | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 18 | $0 |
Insurance plans in this area (ZIP 84341)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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