Clare Adams Moore, FNP
Individual provider Active NPI Nurse Practitioner · Cleveland, MS
NPI 1104332089 · NPPES record last updated Dec 14, 2017
Key facts
- NPI
- 1104332089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 902284 (MS)
- Practice address
- 810 E Sunflower Rd
Cleveland, MS 38732-2800 - Phone
- (662) 579-0136
- NPI assigned
- Dec 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Sunflower Medical Center
Bolivar Physician Practices LLC
Practice addresses (Care Compare)
202 S Ruby Ave
Ruleville, MS 38771-3227
Phone (662) 756-2500
840 N Oak Ave
Ruleville, MS 38771-3227
860 N Oak Ave
Ruleville, MS 38771-3227
907 E Sunflower Rd
Cleveland, MS 38732-2830
Hospital & facility affiliations
- North Sunflower Medical Center Cah
- Bolivar Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180124001091 | MS | Practitioner - Nurse Practitioner | 7416216262 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolivar Physician Practices LLC | Current |
Accepting new patients | |
| North Sunflower Medical Center | Current |
Accepting new patients | |
| Bolivar Physician Practices LLC | Current | Accepting new patients | |
| Bolivar Physician Practices LLC | Nurse Practitioner | Current |
Accepting new patients |
| North Sunflower Medical Center | Current |
Accepting new patients |
Locations
907 E Sunflower Rd
Ste 102
Cleveland, MS 38732
Phone (662) 545-4443
810 E Sunflower Rd
Ste 100
Cleveland, MS 38732
Phone (662) 579-3484
810 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 579-3484
840 N Oak Ave
Ste 101
Ruleville, MS 38771
840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711
Interoperability endpoints
- clare.moore.1@10381.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 902284 | MS | Yes |
Addresses
Primary practice location
810 E Sunflower Rd
Cleveland, MS 38732-2800
Mailing address
106 S Pearman Ave
Cleveland, MS 38732-3246
Phone (662) 719-5911
Other providers in Cleveland, MS
- Mississippi Commcare Corporation a Non Profit Corporation
- Mississippi Methodist Hospital & Rehabilitation Center, Inc.
- Mississippi State Department of Health
- Mississippi Visiting Physicians, LLC
- Jasmine Mitchell
- Gwendolyn F Moore
- Robert Hunter Moore
- Moriah Hospice and Palliative Care,LLC,Inc.
- James Ernest Morris Jr.
- Jason Kendell Morris
All providers in Cleveland, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.