Individual provider Active NPI

Kindra Moore, APN-BC

  • Nurse Practitioner
  • Willingboro, NJ
National Provider Identifier
1447601703
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00645700 Issued in NJ
Practice address
1113 Hospital Dr Ste 202B
Willingboro, NJ 08046-1129
Phone
(609) 835-3550
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00645700 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00645700 NJ
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 26NJ00645700 NJ Primary

Addresses

Primary practice location

1113 Hospital Dr Ste 202B
Willingboro, NJ 08046-1129

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

728 Marne Hwy Ste 200B
Moorestown, NJ 08057-3128
Phone (856) 291-8855

Other practice location 2

239 Hurffville Crosskeys Rd Ste 350A
Sewell, NJ 08080-4007
Phone (856) 589-0300

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kmoore109614@directvirtua.org
Direct Messaging Address kmoore109614@directvirtua.org
Direct Messaging Address kmoore109614@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20161010001126 NJ Practitioner - Nurse Practitioner 5294023115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1 Brace Rd
Cherry Hill, NJ 08034-2600

3242 Route 206
Bordentown, NJ 08505-4517

728 Marne Hwy
Moorestown, NJ 08057-3128

811 Sunset Rd
Burlington, NJ 08016-3645
Phone (609) 877-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince May 1, 2018 Accepting new patients
Virtua Medical Group, PA Multi-Specialty CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA Multi-Specialty CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA Multi-Specialty CurrentSince Mar 1, 2020 Accepting new patients
Optum Medical Care of New Jersey PC Multi-Specialty CurrentSince May 1, 2018 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

63 Kresson Rd
Ste 101
Cherry Hill, NJ 08034
Phone (856) 428-4100

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

728 Marne Hwy
Ste 200B
Moorestown, NJ 08057
Phone (856) 291-8855

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

239 Hurffville Crosskeys Rd
Ste 350A
Sewell, NJ 08080
Phone (856) 589-0300

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

1113 Hospital Dr
Ste 202B
Willingboro, NJ 08046
Phone (609) 835-3550

730 N Broad St
Ste 200
Woodbury, NJ 08096
Phone (856) 251-2340

Interoperability endpoints

  • Direct secure messaging: kmoore109614@directvirtua.org

Organizations & group practices 6

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1447601703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 HOSPITAL DR STE 202B",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461129",
            "telephone_number": "609-835-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Marne Hwy Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573128",
            "country_code": "US",
            "telephone_number": "856-291-8855",
            "fax_number": "856-291-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 350A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804007",
            "country_code": "US",
            "telephone_number": "856-589-0300",
            "fax_number": "856-589-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KINDRA",
        "name_prefix": "Mrs.",
        "credential": "APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00645700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00645700",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00645700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoore109614@directvirtua.org",
            "affiliation": "N",
            "address_1": "1113 Hospital Dr Ste 202B",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoore109614@directvirtua.org",
            "affiliation": "N",
            "address_1": "728 Marne Hwy Ste 200B",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoore109614@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 350A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.