Individual provider Active NPI

Christian John Moore, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Eagle River, AK
National Provider Identifier
1184585655
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
247432 Issued in AK
Practice address
17101 Snowmobile LN
Eagle River, AK 99577-7043
Phone
(888) 227-3312
Fax
(907) 212-8661
NPI assigned
Nov 24, 2025
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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 247432 AK Primary

Addresses

Primary practice location

17101 Snowmobile LN
Eagle River, AK 99577-7043

Mailing address

PO Box 31001-4141
Pasadena, CA 91110-0001
Phone (773) 858-2096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20260121003304 AK Practitioner - Nurse Practitioner 9931686953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Care Or PCGroup PAC ID 1254768732, 60 clinicians
Express Care Ak LLCGroup PAC ID 2163855032, 16 clinicians
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians

Practice addresses (Care Compare)

17101 Snowmobile LN
Suite 114
Eagle River, AK 99577-7043
Phone (888) 227-3312

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
247432AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Care Or PC CurrentSince Mar 1, 2026 Accepting new patients
Express Care Ak LLC CurrentSince Feb 22, 2026 Accepting new patients
Express Care Ak LLC CurrentSince Feb 22, 2026 Accepting new patients

Locations

1118 N Muldoon Rd
Ste 130
Anchorage, AK 99504

1200 W Northern Lights Blvd
Ste B
Anchorage, AK 99503
Phone (907) 212-5165

17101 Snowmobile Ln
Ste 114
Eagle River, AK 99577
Phone (907) 562-2211

Organizations & group practices 4

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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1184585655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4141",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001",
            "telephone_number": "773-858-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17101 SNOWMOBILE LN",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777043",
            "telephone_number": "888-227-3312",
            "fax_number": "907-212-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTIAN",
        "middle_name": "JOHN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "247432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.