Melody Ann Moore, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95030265 Issued in CA

Practice address

501 E Hardy St Ste 160
Inglewood, CA 90301-4033

Phone

(310) 295-0075

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Brook Critical Care Medical Group IncGroup PAC ID 3476975319, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Willow Brook Critical Care Medical Group, Inc

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1811520224
  Medicare reassignment Care Compare group NPD
• Pulmonary Consultants and Wellness Center Inc PC

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1427440304
  Medicare reassignment NPD

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

• Dignity Community Care

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1013757020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CLUBHOUSE AVE APT H",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913232",
            "telephone_number": "310-363-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST STE 160",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014033",
            "telephone_number": "310-295-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95030265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelin M Montoya, LCSW
• Leah Aguirre Montoya, NURSE PRACTITIONER -
• Holly Moon, D.D.S.
• Jazmine Moore Douglas, RN
• Kennedy Moore
• Rose Amanda Moore, RADT
• Viridiana Mora Perez, MS
• Elizabeth Morales-Torres
• Delia Guadalupe Morales
• Elizabeth Morales

• Acute Care Nurse Practitioner in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.