Individual provider Active NPI

Amber Moore

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1407333156
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022557 Issued in OH
Practice address
2213 Cherry St Unit 2B
Toledo, OH 43608-2603
Phone
(419) 251-5155
Fax
(419) 251-5160
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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.022557 OH Primary

Addresses

Primary practice location

2213 Cherry St Unit 2B
Toledo, OH 43608-2603

Mailing address

2200 Jefferson Ave
Toledo, OH 43604-7101

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
I20181010000931 OH Practitioner - Nurse Practitioner 2062764681 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Partners Northern Region Specialty Care LLCGroup PAC ID 9739585480, 86 clinicians
Toledo Cardiology Consultants IncGroup PAC ID 4082609656, shared by 2 NPIs, 17 clinicians

Practice addresses (Care Compare)

1400 E 2ND St
Defiance, OH 43512-2440
Phone (419) 784-1414

2409 Cherry St
Suite 100
Toledo, OH 43608-2670
Phone (419) 251-3700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022557OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Cardiology Consultants Inc CurrentSince Aug 1, 2024 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jan 31, 2019 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jan 31, 2019 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Toledo Cardiology Consultants Inc CurrentSince Aug 1, 2024 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Nov 1, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health System Northern Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

959 Illinois Ave
Ste C
Maumee, OH 43537
Phone (419) 251-3711

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

3851 Navarre Ave
Ste 210
Oregon, OH 43616
Phone (419) 251-3700

12621 Eckel Junction Rd
Ste 250
Perrysburg, OH 43551

7640 Sylvania Ave
Ste I
Sylvania, OH 43560
Phone (419) 473-6637

2213 Cherry St
Unit 2B
Toledo, OH 43608
Phone (419) 251-5155

2409 Cherry St
Ste 100
Toledo, OH 43608
Phone (419) 251-3700

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2213 Cherry St
Unit B
Toledo, OH 43608
Phone (419) 251-5155

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

Interoperability endpoints

  • Direct secure messaging: amoore79088@direct.bsmhealth.org

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.

Hospital & facility affiliations 4

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1407333156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST UNIT 2B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "419-251-5155",
            "fax_number": "419-251-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.