Individual provider Active NPI

Anna Claire Moore, FNP

  • Family Nurse Practitioner
  • Ackerman, MS
National Provider Identifier
1083592620
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907639 Issued in MS
Practice address
140 W Center St
Ackerman, MS 39735-9017
Phone
(662) 285-9002
NPI assigned
Aug 22, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 907639 MS Primary

Addresses

Primary practice location

140 W Center St
Ackerman, MS 39735-9017

Mailing address

104 W Center St.
Ackerman, MS 39735
Phone (662) 285-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20260216001153 MS Practitioner - Nurse Practitioner 5799265104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chandlers RDL LLCGroup PAC ID 7416457429, 3 clinicians

Practice addresses (Care Compare)

140 W Ctr St
Ackerman, MS 39735-9017
Phone (662) 285-9002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907639MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler's RDL LLC Family CurrentSince Jan 7, 2026 Accepting new patients

Locations

140 W Center St
Ackerman, MS 39735
Phone (662) 285-7700

Interoperability endpoints

  • Direct secure messaging: hometownurgentcareofackerman.annamoore@161933.advancedmd-direct.com

Organizations & group practices 1

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.

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": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1083592620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W CENTER ST.",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "39735",
            "telephone_number": "662-285-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W CENTER ST",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397359017",
            "telephone_number": "662-285-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANNA",
        "middle_name": "CLAIRE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ackerman, MS

Sources for this page

Verify at the official NPI Registry.