Individual provider Active NPI

Mary Beth Moore, NP

  • Family Nurse Practitioner
  • Steubenville, OH
National Provider Identifier
1326479841
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.15343 Issued in OH
Practice address
4100 Johnson Rd Ste 208
Steubenville, OH 43952-2372
Phone
(740) 314-5138
Fax
(740) 792-4171
NPI assigned
Dec 9, 2013
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.15343 OH Primary

Addresses

Primary practice location

4100 Johnson Rd Ste 208
Steubenville, OH 43952-2372

Mailing address

4100 Johnson Rd Ste 208
Steubenville, OH 43952-2372
Phone (740) 314-5138

Other identifiers 2

IdentifierTypeStateIssuer
0095300MedicaidOH
1326479841MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140129001309 OH Practitioner - Nurse Practitioner 1951530690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity WestGroup PAC ID 5496648875, 145 clinicians
Rehab-Bray LLCGroup PAC ID 8527256460, 84 clinicians

Practice addresses (Care Compare)

107 Main St
Wintersville, OH 43953-3733
Phone (740) 264-1656

2716 Sunset Blvd
Steubenville, OH 43952-1155
Phone (740) 264-0772

380 Summit Ave
Steubenville, OH 43952-2667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
48.02
Promoting interoperability
91
Improvement activities
40
Cost
71.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15343OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Ohio, LLC PastSince Apr 30, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mary.anderson@tpg.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1326479841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD STE 208",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522372",
            "telephone_number": "740-314-5138",
            "fax_number": "740-792-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD STE 208",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522372",
            "telephone_number": "740-314-5138",
            "fax_number": "740-792-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095300",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326479841",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.