Gerri L Moore, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3005741 Issued in KY

Practice address

340 Starlite Dr
Henderson, KY 42420-6102

Phone

(270) 844-8515

Fax

(270) 844-8183

NPI assigned

Mar 3, 2009

Last updated

Oct 28, 2020By 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 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, shared by 46 NPIs, 213 clinicians

Brock Medical, LLCGroup PAC ID 9830354638, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brock Medical, LLC

  dba First Care Clinics, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment Care Compare group NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1891941688
  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Urgent Care

  • Family Nurse Practitioner
  • Franklin, KY
  • NPI 1457716706

  Family Medicine

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  Family Medicine, KY

  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585

  Nurse Practitioner

  NPD
• Fast Pace Kentucky, PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Spindale, NC
  • NPI 1942027891
  NPD
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Fast Pace Kentucky, PLLC

  • Rural Health Clinic/Center
  • Bardstown, KY
  • NPI 1184381444
  NPD (past)
• Owensboro Health Medical Group, Inc

  dba Owensboro Health Medical Group - EKG Professional Services

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1376594242
  NPD (past)

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1235379215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 STARLITE DR",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424206102",
            "telephone_number": "270-844-8515",
            "fax_number": "270-844-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GERRI",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006183A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005741",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005741",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3005741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100075040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Lynn Monroe, R.N.
• Darrell Montgomery
• Sheri Dawn Montgomery, M.D.
• Stephanie D. Montgomery, LPCC
• Alison Kay Moore, MS/CCC-SLP
• Paul E Moore, MD
• Chase Parker Moran, D.O.
• More Than Words Therapy Services, LLC
• Alexis Morlock
• William C Morris, D.M.D.

• Nurse Practitioner in Henderson, KY
• Providers in Henderson, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.