Individual provider Active NPI

Amber Moore

  • Psychiatric/Mental Health Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1265125355
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027854 Issued in PA
Practice address
150 Corporate Center Dr Ste 202
Camp Hill, PA 17011-1759
Phone
(717) 988-9430
Fax
(717) 221-5239
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 678572 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027854 PA Primary

Addresses

Primary practice location

150 Corporate Center Dr Ste 202
Camp Hill, PA 17011-1759

Mailing address

617 Geneva Dr Apt B16
Mechanicsburg, PA 17055-4575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoore254059@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231023000264 PA Practitioner - Nurse Practitioner 3870949233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
678572PAMDMedical-Surgical Registered Nurse
SP027854PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Oct 1, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 1, 2023 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

150 Corporate Center Dr
Ste 202
Camp Hill, PA 17011
Phone (717) 988-9430

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1555 Highlands Dr
Ste 150
Lititz, PA 17543
Phone (717) 988-9430

Interoperability endpoints

  • Direct secure messaging: amoore297262@upmc.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1265125355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 GENEVA DR APT B16",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CORPORATE CENTER DR STE 202",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111759",
            "telephone_number": "717-988-9430",
            "fax_number": "717-221-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "PA",
            "license": "678572",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoore254059@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "150 Corporate Center Dr Ste 202",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170111759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.