Active NPI
Cynthia Lynne Moore, APRN
- Family Nurse Practitioner
- Shawnee, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 44641
- Practice address
- 7405 Renner Rd
Shawnee, KS 66217-9414 - Phone
- (913) 588-2200
- Fax
- (913) 588-8423
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 44641 | KS | Primary |
Addresses
Primary practice location
7405 Renner Rd
Shawnee, KS 66217-9414
Mailing address
6955 Greenwood St
Shawnee, KS 66216-3905
Phone (816) 589-3464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100454830A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- 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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas University Physicians Inc
Practice addresses (Care Compare)
1403 Grand Blvd
Kansas City, MO 64106-2917
Phone (913) 574-2273
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-6600
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44641 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Jayhawk Primary Care Inc | Current | Accepting new patients | |
| Jayhawk Primary Care Inc | Current | Accepting new patients | |
| Kansas University Physicians, Inc. | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Providence Care Inc | Past | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Past | Accepting new patients | |
| Shawnee Mission Medical Center, Inc. | Past | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
12121 Blue Ridge Ext
Ste M
Grandview, MO 64030
Phone (816) 761-0684
1403 Grand Blvd
Kansas City, MO 64106
Phone (816) 268-4295
2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1982665436
-
- Federally Qualified Health Center (FQHC)
- Kansas City, KS
- NPI 1609879063
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Urgent Care Clinic/Center
- Kansas City, KS
- NPI 1295378156
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1164813879
-
- Family Medicine Physician
- Kansas City, KS
- NPI 1477860112
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
-
- Urgent Care Clinic/Center
- Shawnee, KS
- NPI 1942317854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1396748752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6955 GREENWOOD ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662163905",
"telephone_number": "816-589-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7405 RENNER RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662179414",
"telephone_number": "913-588-2200",
"fax_number": "913-588-8423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CYNTHIA",
"middle_name": "LYNNE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "44641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100454830A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.