Individual provider Active NPI

Emily Moore, CNP

  • Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1043037583
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0037649 Issued in OH
Practice address
3619 Park East Dr Ste 109
Beachwood, OH 44122-4312
Phone
(216) 844-3192
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0037649 OH Primary

Addresses

Primary practice location

3619 Park East Dr Ste 109
Beachwood, OH 44122-4312

Mailing address

PO Box 772928
Detroit, MI 48277-2928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250422001687 OH Practitioner - Nurse Practitioner 0042735144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

3909 Orange PL
Suite 4300
Orange Village, OH 44122-8400
Phone (216) 844-5661

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Lake Health Beachwood Medical Center Hospital, Beachwood, OH, CCN 360367
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037649OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Apr 9, 2025 Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients

Locations

3619 Park East Dr
Ste 109
Beachwood, OH 44122
Phone (216) 464-6210

3909 Orange Pl
Ste 4300
Beachwood, OH 44122
Phone (216) 844-3009

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

3909 Orange Pl
Ste 2300
Cleveland, OH 44122
Phone (216) 285-5041

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

3619 Park East Dr
Cleveland, OH 44122
Phone (216) 464-6211

11100 Euclid Ave
#5
Cleveland, OH 44106

11100 Euclid Ave
Cleveland Heights, OH 44106

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 9

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1043037583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772928",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR STE 109",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224312",
            "telephone_number": "216-844-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0037649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.