Nicole Jones Moore, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903302 Issued in MS

Practice address

102 E Hospital Dr
Hattiesburg, MS 39402-1310

Phone

(601) 475-9968

Fax

(601) 475-9969

NPI assigned

Jun 13, 2019

Last updated

Apr 13, 2026By 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David B Roy DO PAGroup PAC ID 2365767118, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.05 of 100Reported as group

Quality

81.89

Promoting interoperability

100

Improvement activities

40

Cost

71.62

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• David B Roy DO PA

  dba Pine Belt Dermatology & Skin Cancer Center

  • MOHS-Micrographic Surgery Physician
  • Hattiesburg, MS
  • NPI 1194124834
  Medicare reassignment Care Compare group NPD
• Grayson Creek Medical Clinic, LLC

  • Pediatric Nurse Practitioner
  • Moselle, MS
  • NPI 1184166035

  Family

  Medicare reassignment NPD
• Smith Audiology, LLC

  • Audiologist
  • Moselle, MS
  • NPI 1619792785
  NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1245890144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RIVIERA CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HOSPITAL DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021310",
            "telephone_number": "601-475-9968",
            "fax_number": "601-475-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NICOLE",
        "middle_name": "JONES",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Moore
• Katie Scianna Moore, CPNP-PC
• Makenna Elise Moore, MD
• Margaret B Moore, SLP
• Martin Moore Jr.
• Stephanie L Moore, DIETITIAN
• Zoe Moore, DO
• Katrina Lynne Morace
• Camryn Morel
• Danielle Morel, FNP

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.