Nicole Marie Moore, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5008018 Issued in NC

Practice address

103 Medical Heights Dr
Morganton, NC 28655-5197

Phone

(828) 437-4211

Fax

(828) 438-4109

NPI assigned

Oct 5, 2015

Last updated

May 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Duke University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Burke Primary Care LLCGroup PAC ID 1759339948, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73177
• Direct secure messaging: nicole.moore@bpc.directbygreenway.com

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.

• Burke Primary Care, LLC

  • Family Medicine Physician
  • Morganton, NC
  • NPI 1225085707
  Medicare reassignment Care Compare group NPD
• DLP Frye Medical Group LLC

  dba FryeCare Lincolnton Medical Group

  • Rural Health Clinic/Center
  • Lincolnton, NC
  • NPI 1154005965
  Medicare reassignment NPD
• DLP Frye Medical Group LLC

  dba FryeCare Specialty Center

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1588103220

  Family

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • General Acute Care Hospital
  • Rutherford College, NC
  • NPI 1306821798
  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • Hematology & Oncology Physician
  • Morganton, NC
  • NPI 1417000837

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • Hematology & Oncology Physician
  • Valdese, NC
  • NPI 1487707964

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba UNC Health Blue Ridge

  • General Acute Care Hospital
  • Morganton, NC
  • NPI 1700860491
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1447620364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEDICAL HEIGHTS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555197",
            "telephone_number": "828-437-4211",
            "fax_number": "828-438-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MEDICAL HEIGHTS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555197",
            "telephone_number": "828-437-4211",
            "fax_number": "828-438-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Sheldon Moncrief, LPCA, NCC
• Wallace B. Moncrief, PA-C
• Mario Montalvo, LCAS
• Carolyn Mook, M.D.
• James McDowell Moore, PH.D.
• Mario Moraga, LCAS
• Julie Lee Morann, CPHT
• Stacey Moretz
• Morganton Anesthesia Partners, PLLC
• Morganton Children's Dental Center

• Family Nurse Practitioner in Morganton, NC
• Providers in Morganton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.

Verify at the official NPI Registry.