Active NPI
Christina Leigh Moore, P.A.
- Physician Assistant
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA191889
- Practice address
- 1501 NE Medical Center Dr
Bend, OR 97701-6051 - Phone
- (541) 382-2811
- NPI assigned
- Nov 17, 2005
- Last updated
- Mar 6, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA191889 | OR | Primary |
| Physician Assistant | 363A00000X | 103884 | NC | |
| Medical Physician Assistant | 363AM0700X | 103884 | NC |
Addresses
Primary practice location
1501 NE Medical Center Dr
Bend, OR 97701-6051
Mailing address
1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone (541) 382-2811
Other practice location 1
3000 New Bern Ave
G-100
Raleigh, NC 27610-1231
Phone (919) 231-8253
Other practice location 2
2615 Hospital Rd Ste 300
Goldsboro, NC 27534-9424
Phone (919) 734-0033
Other practice location 3
2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607
Phone (919) 787-5380
Other names 1
- Ms. Christina Leigh Gunnet
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgunnet16896@directmsg.bmctotalcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 382-2811
333 NW Larch Ave
Suite 2
Redmond, OR 97756-1186
Phone (541) 382-4900
815 SW Bond St
Bend, OR 97702-3593
865 SW Veterans Way
Redmond, OR 97756-2563
Phone (541) 382-2811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA191889 | OR | MD | Physician Assistant |
| 103884 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Physician Assistant | Past | Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
Organizations & group practices 3
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.
-
dba Summit Health
- Family Medicine Physician
- Bend, OR
- NPI 1699827477
Physician Assistant
-
dba Bend Memorial Clinic PC dba Summit Health
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
-
dba North Carolina Heart and Vascular
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba St. Charles - Madras
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
-
dba St. Charles Prineville
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1457333254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 NE MEDICAL CENTER DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016051",
"telephone_number": "541-382-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 NE MEDICAL CENTER DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016051",
"telephone_number": "541-382-2811"
}
],
"practiceLocations": [
{
"address_1": "3000 New Bern Ave",
"address_2": "G-100",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101231",
"country_code": "US",
"telephone_number": "919-231-8253",
"fax_number": "919-231-9546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2615 Hospital Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Goldsboro",
"state": "NC",
"postal_code": "275349424",
"country_code": "US",
"telephone_number": "919-734-0033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 Blue Ridge Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "27607",
"country_code": "US",
"telephone_number": "919-787-5380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "CHRISTINA",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA191889",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103884",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103884",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgunnet16896@directmsg.bmctotalcare.com",
"affiliation": "N",
"address_1": "1501 NE Medical Center Dr",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977016051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "GUNNET",
"middle_name": "LEIGH",
"prefix": "MS.",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.