Individual provider Active NPI

Jasmine Rose Moore, APRN

  • Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1306514625
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113696 Issued in NE
Practice address
810 W Reid Ave Ste 4
North Platte, NE 69101-6582
Phone
(308) 534-0900
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113696 NE Primary

Addresses

Primary practice location

810 W Reid Ave Ste 4
North Platte, NE 69101-6582

Mailing address

4233 N Trinity Rd
North Platte, NE 69101-1375
Phone (130) 853-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210929000419 NE Practitioner - Nurse Practitioner 1759788086 Reassigns benefits to 3 organizations
I20251217003863 OR Practitioner - Nurse Practitioner 1759788086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Platte Valley Women'S Healthcare, PCGroup PAC ID 9032336904, 4 clinicians

Practice addresses (Care Compare)

19704 Hollygrape St
Bend, OR 97702-2571
Phone (541) 550-1246

810 W Reid Ave
Suite 4
North Platte, NE 69101-6582
Phone (308) 534-0090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113696NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Womens Healthcare, PC CurrentSince Oct 15, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Dec 18, 2023 Accepting new patients
Seniors at Home LLC CurrentSince Jan 14, 2026 Accepting new patients

Locations

318 W 18th St
#1110
Cozad, NE 69130

810 W Reid Ave
Ste 4
North Platte, NE 69101
Phone (308) 534-0090

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

250 Skillman St
Ste 202
Brooklyn, NY 11205

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1306514625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 N TRINITY RD",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691011375",
            "telephone_number": "130-853-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W REID AVE STE 4",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016582",
            "telephone_number": "308-534-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JASMINE",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.