Clare Adams Moore, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

902284 Issued in MS

Practice address

810 E Sunflower Rd
Cleveland, MS 38732-2800

Phone

(662) 579-0136

NPI assigned

Dec 14, 2017

Last updated

Dec 14, 2017By 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

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Sunflower Medical CenterGroup PAC ID 7618932294, 46 clinicians

Bolivar Physician Practices LLCGroup PAC ID 6305995895, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318
• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clare.moore.1@10381.direct.athenahealth.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.

• Bolivar Physician Practices LLC

  dba Bolivar Orthopedics

  • Orthopaedic Surgery Physician
  • Cleveland, MS
  • NPI 1063659530
  Medicare reassignment Care Compare group NPD
• North Sunflower Medical Center

  dba Cleveland Medical Clinic

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1891705133
  Medicare reassignment Care Compare group
• Bolivar Physician Practices LLC

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1043454655

  Nurse Practitioner

  NPD
• Bolivar Physician Practices LLC

  dba Rosedale Family Medical

  • Rural Health Clinic/Center
  • Rosedale, MS
  • NPI 1205489689
  NPD
• North Sunflower Medical Center

  dba NSMC Pro Fees

  • Hospitalist Physician
  • Ruleville, MS
  • NPI 1013128644
  NPD
• North Sunflower Medical Center

  dba Sunflower Greenwood Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Greenwood, MS
  • NPI 1730903287
  NPD

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

• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Care Compare affiliation
• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1104332089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S PEARMAN AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323246",
            "telephone_number": "662-719-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322800",
            "telephone_number": "662-579-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CLARE",
        "middle_name": "ADAMS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi Commcare Corporation a Non Profit Corporation (Cleveland Community Care Center)
• Mississippi Methodist Hospital & Rehabilitation Center, Inc. (Methodist Orthotics & Prosthetics Cleveland)
• Mississippi State Department of Health
• Mississippi Visiting Physicians, LLC
• Jasmine Mitchell, PMHNP-BC
• Gwendolyn F Moore, D.M.D.
• Robert Hunter Moore, ATC
• Moriah Hospice and Palliative Care,LLC,Inc.
• James Ernest Morris Jr., FNP
• Jason Kendell Morris, M.D.

• Nurse Practitioner in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.