Individual provider Active NPI

Jane Marie Moore, CRNP

  • Family Nurse Practitioner
  • Curwensville, PA
National Provider Identifier
1083196919
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019116 Issued in PA
Practice address
605 State Street
Curwensville, PA 16833-1116
Phone
(814) 236-3993
Fax
(814) 236-3957
NPI assigned
Sep 6, 2018
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP019116 PA Primary

Addresses

Primary practice location

605 State Street
Curwensville, PA 16833-1116

Mailing address

605 State Street
Curwensville, PA 16833-1116
Phone (814) 236-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181016000707 PA Practitioner - Nurse Practitioner 4587916895 Reassigns benefits to 2 organizations
I20251122000111 NJ Practitioner - Nurse Practitioner 4587916895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Counseling Consulting and Human Services LLCGroup PAC ID 3072665462, 14 clinicians

Practice addresses (Care Compare)

1851 W End Ave
New Beginnings
Pottsville, PA 17901-2050
Phone (570) 622-9101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019116PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Consulting & Human Services LLC CurrentSince Feb 15, 2023 Accepting new patients
Lost Souls Recovery, LLC CurrentSince Nov 1, 2025 Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Jan 1, 2024 Accepting new patients
Cen Clear Child Services, Inc. CurrentSince Apr 27, 2022 Accepting new patients

Locations

130 White Horse Pike
Clementon, NJ 08021
Phone (570) 622-9101

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

1851 W End Ave
Pottsville, PA 17901
Phone (570) 622-9101

50 Bigler Rd
Woodland, PA 16881

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1083196919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 STATE STREET",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168331116",
            "telephone_number": "814-236-3993",
            "fax_number": "814-236-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 STATE STREET",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168331116",
            "telephone_number": "814-236-3993",
            "fax_number": "814-236-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Curwensville, PA

Sources for this page

Verify at the official NPI Registry.