Doctor profile · Federal record
Dr. Jaden Moomaw
Family Nurse Practitioner (CMS: Nurse Practitioner) · Student in an Organized Health Care Education/Training Program · Mattoon, IL
- NPI 1376298919
- Accepts Medicare
- 3 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2512 Hurst Dr Ste 120
Mattoon, IL 619389200
(217) 258-7590
fax (217) 258-3686 - Additional location
-
6 Hairpin Dr
Edwardsville, IL 620261000
(618) 650-3956
Credentials & registration
- NPI registered
- February 2022 — 4 yrs on file
- Profile last updated
- February 29, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Illinois #209027942
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376298919. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$225
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $118.55 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $106.07 |
By nature of payment
Frequently asked questions
What is Dr. Jaden Moomaw's medical specialty?
Dr. Jaden Moomaw practices Family Nurse Practitioner in Mattoon, IL.
Where does Dr. Jaden Moomaw practice?
Dr. Jaden Moomaw practices at 2512 Hurst Dr Ste 120, Mattoon, IL 619389200. Office phone: 2172587590.
What is Dr. Jaden Moomaw's NPI?
Dr. Jaden Moomaw's National Provider Identifier (NPI) is 1376298919, issued by NPPES.
Does Dr. Jaden Moomaw accept Medicare assignment?
Yes. Dr. Jaden Moomaw accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.