Active NPI
Jasmine Rose Moore, APRN
- Nurse Practitioner
- North Platte, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 113696
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113696 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platte Valley Womens Healthcare, PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Infinite Medical PC | Nurse Practitioner | Current | Accepting new patients |
| Seniors at Home LLC | Current | 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.
-
- Family Nurse Practitioner
- North Platte, NE
- NPI 1316206923
-
- Clinic/Center
- Bend, OR
- NPI 1255206744
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NE, Nurse Practitioner
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Gothenburg, NE
- NPI 1922051531
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
- Clinical Medical Laboratory
- North Platte, NE
- NPI 1902660509
Hospital
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.