Carly Moore, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NUR-APRN-LIC-195589 Issued in MT

Practice address

2831 Fort Missoula Rd Ste 146
Missoula, MT 59804-7401

Phone

(406) 327-3850

Fax

(406) 327-3851

NPI assigned

Jun 16, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Partners in Home Care Inc Home health agency, Missoula, MT, CCN 277032
• Community Medical Center Hospital, Missoula, MT, CCN 270023
• St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crmoore@direct.communitymed.org

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.

• RCHP Billings - Missoula LLC

  • Specialist
  • Missoula, MT
  • NPI 1376946913
  Medicare reassignment Care Compare group NPD
• RCHP Billings - Missoula LLC

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1891164125
  NPD

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

• Partners in Home Care, Inc.

  • Home Health Agency
  • Missoula, MT
  • NPI 1629135447
  Care Compare affiliation
• Providence Health & Services Mt

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1023032588
  Care Compare affiliation
• Providence Health & Services Mt

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1326483587

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Anatomic Pathology & Clinical Pathology Physician
  • Missoula, MT
  • NPI 1366185928

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Psychiatric Hospital Unit
  • Missoula, MT
  • NPI 1619058302
  Care Compare affiliation
• RCHP Billings - Missoula LLC

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1346642899
  Care Compare affiliation

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1457081846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 146",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047401",
            "telephone_number": "406-327-3850",
            "fax_number": "406-327-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 146",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047401",
            "telephone_number": "406-327-3850",
            "fax_number": "406-327-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CARLY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-195589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA APRN LICENSE",
            "identifier": "NUR-APRN-LIC-195589",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crmoore@communitymed.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "2831 Fort Missoula Rd Ste 146",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598047401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Richard Montgomery, D.C.
• Lina Montopoli, PA-C
• Stephanie Lord Montoya, LMT
• Valerie Jean Moody, ATC
• Amy Ayers Moore, PTA
• Christopher Lee Moore, D.C.
• Joey Lee Moore, LCPC
• Kristi L. Moore, MSPT
• Marlesa K Moore, DPT
• Sarah Moore, OTD, OTR/L

• Family Nurse Practitioner in Missoula, MT
• Providers in Missoula, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.