Nola F. Moore, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

132701 Issued in MO

Practice address

1706 Prospect Dr
Macon, MO 63552-2615

Phone

(660) 385-1006

Fax

(660) 385-1028

NPI assigned

Aug 24, 2006

Last updated

Jul 16, 2019By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
• Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025
• Moberly Regional Medical Center Hospital, Moberly, MO, CCN 260074

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nola.moore.p1@direct.cfmkv.nextgenshare.com

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

• Hannibal Regional Healthcare System, Inc

  dba Hannibal Regional Medical Group

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1134311392
  Medicare reassignment Care Compare group NPD
• Midwest Bone & Joint Center PC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Macon, MO
  • NPI 1902812407
  Medicare reassignment

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

• Hannibal Regional Healthcare System, Inc

  • Rural Acute Care Hospital
  • Hannibal, MO
  • NPI 1922042704
  Care Compare affiliation
• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  Care Compare affiliation
• Moberly Hospital Company LLC

  dba Moberly Regional Medical Center

  • General Acute Care Hospital
  • Moberly, MO
  • NPI 1770554305
  Care Compare affiliation

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1063529006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1006",
            "fax_number": "660-385-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NOLA",
        "middle_name": "F.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "132701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00359523",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Surgical Specialties PC
• Miller Rexall Drug Store
• Miller Rexall Drug, Inc
• Miller Rexall Drug, Inc. (Miller Rexall Drug)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #11314)
• Jay Nastav, DO
• Tristin Elizabeth Neumann, NP-C
• New Journey Counseling LLC
• NHC Healthcare-Macon LLC (Macon Health Care Center)
• Northeast Missouri Health Council, Inc (Macon Dental)

• Nurse Practitioner in Macon, MO
• Providers in Macon, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.