Stacey J Moore, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3808P Issued in KY

Practice address

1955 Dixie Hwy
Ste C
Ft Wright, KY 41011-2792

Phone

(859) 341-5550

Fax

(859) 344-3782

NPI assigned

Jan 16, 2007

Last updated

Aug 28, 2012By 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 2

Addresses

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christ Hospital Medical Specialists LLCGroup PAC ID 6507998432, 127 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score

90.21 of 100Reported as group

Quality

88

Promoting interoperability

100

Improvement activities

40

Cost

79.36

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.

• Christ Hospital Medical Specialists LLC

  • Urology Physician
  • Cincinnati, OH
  • NPI 1124341649

  KY

  Medicare reassignment Care Compare group NPD
• Ohio Valley Anesthesia Service, Inc

  • Anesthesiology Physician
  • Florence, KY
  • NPI 1346738606
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christ Hospital

  dba The Christ Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1780633289
  Care Compare affiliation

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1275684268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17510",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410170510",
            "telephone_number": "859-341-5550",
            "fax_number": "859-344-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 DIXIE HWY",
            "address_2": "STE C",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112792",
            "telephone_number": "859-341-5550",
            "fax_number": "859-344-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STACEY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3808P",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "KY",
            "license": "1086649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gene McIntosh, MD
• Metzger Optometry Ky PLLC
• William Ferdinand Metzger, O.D.
• Dana C Miller, RPH
• Aleesha M Montoya, MD
• Steven Barrett Moore II, DMD
• Mary Elizabeth Mueller, DDS
• Thomas B. Mueller, D.M.D
• Mary Kathleen Nelms, APRN
• Northern Ky Chiropractic Spine & Injury Center LLC

• Family Nurse Practitioner in Ft Wright, KY
• Providers in Ft Wright, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.