Active NPI
Ann Roberts Moore, NP
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10573
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 742-9000
- NPI assigned
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10573 | AZ | Primary |
| Nurse Practitioner | 363L00000X | AP10573 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 71003777A | IN | |
| Family Nurse Practitioner | 363LF0000X | 18365-33 | WI |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
3245 Health Drive
Suite 100
Granger, IN 46530-3245
Phone (574) 647-1840
Other practice location 1
7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-2297
Other practice location 2
500 Arcade Ave
Ste 210
Elkhart, IN 46514-2485
Phone (574) 389-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300012625 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anne.moore@lutheranhealthnetwork.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, AZ, NC, IA, WV, MI, VA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300
317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345
5330 S Hwy 95
Fort Mohave, AZ 86426-9225
Phone (928) 788-7077
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3747
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group North Carolina | Current | Accepting new patients | |
| Apogee Medical Group, West Virginia, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Apogee Medical Group Virginia, PC | Current | Accepting new patients | |
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Apogee Medical Group, Michigan, PC | Current | Accepting new patients | |
| Apogee Medical Group Iowa PC | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Apogee Medical Group Indiana PC | Current | Accepting new patients | |
| Apogee Behavioral Medicine Virginia PC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
500 Arcade Ave
Ste 210
Elkhart, IN 46514
Phone (574) 389-5656
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Interoperability endpoints
- anne.moore@lutheranhealthnetwork.cernerdirect.com
- poa4374@yourcarecommunity.org
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1760652218
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
-
- General Practice Physician
- Logan, WV
- NPI 1669708442
Nurse Practitioner
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1205883725
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Pulmonary Disease Physician
- Elkhart, IN
- NPI 1770954992
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henderson, NC
- NPI 1164707725
-
- Psychiatric Hospital Unit
- Louisburg, NC
- NPI 1689166605
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1104167386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DRIVE",
"address_2": "SUITE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465303245",
"telephone_number": "574-647-1840",
"fax_number": "260-479-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-742-9000"
}
],
"practiceLocations": [
{
"address_1": "7916 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-432-2297",
"fax_number": "260-434-6433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Arcade Ave",
"address_2": "Ste 210",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142485",
"country_code": "US",
"telephone_number": "574-389-5656",
"fax_number": "574-523-7891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ANN",
"middle_name": "ROBERTS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10573",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP10573",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003777A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "18365-33",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300012625",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anne.moore@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "7916 W Jefferson Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468044140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.