Individual provider Active NPI

Hope Moore, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Union City, IN
National Provider Identifier
1003584137
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011969A Issued in IN
Practice address
330 W Deerfield Rd
Union City, IN 47390-1039
Phone
(765) 964-6200
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28216383A IN
Family Nurse Practitioner 363LF0000X 71011969A IN Primary

Addresses

Primary practice location

330 W Deerfield Rd
Union City, IN 47390-1039

Mailing address

330 W Deerfield Rd
Union City, IN 47390-1039

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hope.moore.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107001802 IN Practitioner - Nurse Practitioner 7810389509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

330 W Deerfield Rd
Union City, IN 47390-1039
Phone (765) 964-6200

Hospital & facility affiliations

  • Ascension St Vincent Randolph Hospital, Winchester, IN, CCN 151301
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28216383AINMDRegistered Nurse
71011969AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family Current Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

330 W Deerfield Rd
Union City, IN 47390
Phone (765) 964-6200

473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004

409 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0480

Interoperability endpoints

  • Direct secure messaging: hope.moore.2@7598.direct.athenahealth.com
  • Direct secure messaging: hope.moore.1@7598.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1003584137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W DEERFIELD RD",
            "city": "UNION CITY",
            "state": "IN",
            "postal_code": "473901039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W DEERFIELD RD",
            "city": "UNION CITY",
            "state": "IN",
            "postal_code": "473901039",
            "telephone_number": "765-964-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HOPE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28216383A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011969A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hope.moore.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "330 W Deerfield Rd",
            "city": "Union City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473901039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union City, IN

Sources for this page

Verify at the official NPI Registry.