Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Ann Moon

Individual provider Certified Registered Nurse Anesthetist · NPI 1083172969

Kimberly Ann Moon is a Certified Registered Nurse Anesthetist (CRNA) in Fargo, North Dakota. Qualified in 2018, 8 years ago. Practices with Innovis Health LLC, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
8
Licensed in
ND
In the registry since
2019
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Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 32nd Ave S, Fargo, ND 58103-6132 — (218) 364-8000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R35271 (ND)

Record details

NPI number1083172969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2019
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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