Individual provider Active NPI

Chelsea Frances Moore, PA-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1144736307
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07755 Issued in NC
Practice address
119 Tunnel Rd
Asheville, NC 28805-1869
Phone
(828) 350-1000
NPI assigned
Dec 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116234 FL
Physician Assistant 363A00000X 0010-07755 NC Primary

Addresses

Primary practice location

119 Tunnel Rd
Asheville, NC 28805-1869

Mailing address

119 Tunnel Rd Ste B
Asheville, NC 28805-1800
Phone (828) 350-1000

Other practice location 1

400 Sr 434
unit 1000
Oviedo, FL 32765
Phone (321) 415-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180226002231 NC Practitioner - Physician Assistant 4880955327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
October Road IncGroup PAC ID 3577611433, 5 clinicians

Practice addresses (Care Compare)

119 Tunnel Rd
Suite D
Asheville, NC 28805-1800
Phone (828) 350-1000

Hospital & facility affiliations

  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116234FLMDPhysician Assistant
0010-07755NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
October Road Inc CurrentSince Dec 11, 2017 Accepting new patients
October Road Inc. CurrentSince Dec 11, 2017 Accepting new patients
Earl Sunderhaus MD PA Past Accepting new patients

Locations

119 Tunnel Rd
Ste B
Asheville, NC 28805
Phone (219) 256-3059

119 Tunnel Rd
Ste D
Asheville, NC 28805
Phone (866) 489-2686

Organizations & group practices 3

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.

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": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1144736307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TUNNEL RD STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051800",
            "telephone_number": "828-350-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TUNNEL RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051869",
            "telephone_number": "828-350-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 SR 434",
            "address_2": "unit 1000",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "32765",
            "country_code": "US",
            "telephone_number": "321-415-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHELSEA",
        "middle_name": "FRANCES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116234",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.