Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley Marie Moon, PA-C

Individual provider Medical Physician Assistant · NPI 1053566687

Ashley Marie Moon, PA-C is a Physician Assistant in Williamsport, Pennsylvania. Qualified in 2008, 18 years ago. Practices with Family Practice Center PC, a 347-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
18
Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1205 River Ave Fl 1
Williamsport, PA 17701-3724
Phone: (570) 323-5991
Fax: (570) 323-6578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA053413 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA053413 (PA)

Record details

NPI number1053566687
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 24, 2008
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Family Practice Center Pc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Williamsport