Individual provider Active NPI

Michele L Moore, NP

  • Nurse Practitioner
  • Oneida, NY
National Provider Identifier
1063599710
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F300032 Issued in NY
Practice address
1144 Meadow Dr
Oneida, NY 13421-2726
Phone
(315) 363-9380
Fax
(315) 363-9382
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 F300032 NY Primary

Addresses

Primary practice location

1144 Meadow Dr
Oneida, NY 13421-2726

Mailing address

1144 Meadow Dr
Oneida, NY 13421-2726
Phone (315) 363-9380

Other identifiers 1

IdentifierTypeStateIssuer
02011301MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20081028000629 NY Practitioner - Nurse Practitioner 2264590769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneida Medical Services PLLCGroup PAC ID 3274773197, 10 clinicians

Practice addresses (Care Compare)

1144 Meadow Dr
Oneida, NY 13421-2726
Phone (315) 363-9380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F300032NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James Louis Pfeiff Current Accepting new patients

Locations

139 Fields Dr
Oneida, NY 13421
Phone (315) 361-2345

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

Interoperability endpoints

  • Direct secure messaging: mmoore@whaoneida.medentdirect.com

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1063599710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 MEADOW DR",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212726",
            "telephone_number": "315-363-9380",
            "fax_number": "315-363-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 MEADOW DR",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212726",
            "telephone_number": "315-363-9380",
            "fax_number": "315-363-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F300032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02011301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.