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Individual provider Active NPI

Amanda Marie Moore, PA-C

  • Physician Assistant
  • Millsboro, DE
National Provider Identifier
1033435656
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000701 Issued in DE
Practice address
30265 Commerce Dr Unit 104
Millsboro, DE 19966-3594
Phone
(302) 629-4787
Fax
(410) 860-9583
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000701 DE Primary

Addresses

Primary practice location

30265 Commerce Dr Unit 104
Millsboro, DE 19966-3594

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 860-9583

Other identifiers 10

IdentifierTypeStateIssuer
1033435656OtherCOMMUNITY HEALTH PLAN
1033435656OtherDEVON HEALTH SERVICES
1033435656OtherMULTIPLAN, INC.
1033435656OtherPERDUE FARMS, INC.
1033435656OtherBLUE CROSS BLUE SHIELD OF DELAWARE
1033435656OtherGREAT WEST HEALTHCARE
1033435656OtherPRIVATE HEALTHCARE SYSTEMS - UNICARE
1033435656OtherUNION LABOR LIFE INSURANCE CO.
1033435656OtherEASTERN SUSSEX PHYSICIANS ORGANIZATION
1033435656OtherHEALTH NET FEDERAL SERVICES - TRICARE/CHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000186 DE Practitioner - Physician Assistant 9436288248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Orthopaedic Assoc PAGroup PAC ID 6406844406, 56 clinicians
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

1606 Savannah Rd
Lewes, DE 19958-1656
Phone (410) 749-4154

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

30265 Commerce Dr
Millsboro, DE 19966-3594

329 Mullet Run
Milford, DE 19963-5373
Phone (410) 749-4154

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Pam Health Rehabilitation Hospital of Georgetown L Inpatient rehabilitation facility, Georgetown, DE, CCN 083028

Merit-based Incentive Payment System (MIPS)

Final score
22.37 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.57

Merit-based Incentive Payment System (MIPS)

Final score
44.55 of 100Reported as group
Quality
58.82
Promoting interoperability
0
Improvement activities
20
Cost
64.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000701DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopaedic Assoc., PA CurrentSince Apr 1, 2024 Accepting new patients
Premier Orthopaedic Bone and Joint Care CurrentSince May 31, 2011 Accepting new patients
Peninsula Orthopaedic Assoc, PA Physician Assistant Past Accepting new patients

Locations

8 N Race St
Georgetown, DE 19947
Phone (302) 424-4141

1606 Savannah Rd
Lewes, DE 19958
Phone (302) 424-4141

329 Mullet Run
Milford, DE 19963
Phone (302) 422-5242

30265 Commerce Dr
Unit 104
Millsboro, DE 19966
Phone (302) 629-4787

92 Atlantic Ave
Ocean View, DE 19970
Phone (302) 424-4141

Interoperability endpoints

  • Direct secure messaging: amoore22841@beebehealth.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1033435656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-860-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR UNIT 104",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663594",
            "telephone_number": "302-629-4787",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON HEALTH SERVICES",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN, INC.",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERDUE FARMS, INC.",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF DELAWARE",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEMS - UNICARE",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNION LABOR LIFE INSURANCE CO.",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EASTERN SUSSEX PHYSICIANS ORGANIZATION",
            "identifier": "1033435656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET FEDERAL SERVICES - TRICARE/CHAMPUS",
            "identifier": "1033435656",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.