Melissa Moore, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1047260 Issued in TX

Practice address

3440 Bell St Unit 122
Amarillo, TX 79109-4100

Phone

(806) 379-9225

Fax

(806) 331-4497

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Braunger Former name

Medicare fee-for-service enrollment

Enrolled in TX

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Act Physician Group, PA 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4

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.

• Act Physician Group, P.a.

  • Primary Care Clinic/Center
  • Amarillo, TX
  • NPI 1508051293

  TX

  Medicare reassignment Care Compare group NPD
• Panhandle Family Care LLC

  • Rural Health Clinic/Center
  • Panhandle, TX
  • NPI 1003407834
  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1043883101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 BELL ST UNIT 122",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094100",
            "telephone_number": "806-379-9225",
            "fax_number": "806-331-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 BELL ST UNIT 122",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094100",
            "telephone_number": "806-379-9225",
            "fax_number": "806-331-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BRAUNGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Allen Moore, LPC
• Julene Rae Moore, MD
• Kassidy Paige Moore, AU.D.
• Kaylee Moore
• Lindsay Moore, PHARM D
• Michael Alan Moore, PT
• Nathaniel Moore, PHARM.D
• Shane L Moore, DDS
• Shirley K Moore, ACA, BC-HIS
• Suzanne Moore, LVN

• All providers in Amarillo, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.