Individual provider Active NPI

Rebecca Lynn Moore, FNP-C

  • Primary Care Nurse Practitioner
  • Centerville, IA
National Provider Identifier
1467051888
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A161167 Issued in IA
Practice address
1208 E Cross St
Centerville, IA 52544-3501
Phone
(641) 255-2970
Fax
(860) 413-0960
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A161167 IA Primary

Addresses

Primary practice location

1208 E Cross St
Centerville, IA 52544-3501

Mailing address

1027 N 7TH St
Chariton, IA 50049-1205
Phone (641) 255-2970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20201130001466 IA Practitioner - Nurse Practitioner 4789095548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services Ia PC 130 clinicians
Curana Health of Iowa PLLC 152 clinicians

Practice addresses (Care Compare)

444 N W View Dr
Osceola, IA 50213-8267
Phone (337) 991-9276

Hospital & facility affiliations

  • Everystep Hospice, Des Moines, IA, CCN 161500
  • Care Initiatives Hospice - Greenfield Hospice, Greenfield, IA, CCN 161595
  • Lucas County Health Center Hospital, Chariton, IA, CCN 161341
  • Decatur County Hospital Hospital, Leon, IA, CCN 161340
  • Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355
  • Lamoni Specialty Care Nursing home, Lamoni, IA, CCN 165314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Ia PC CurrentSince Mar 6, 2023 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Mar 6, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

1208 E Cross St
Centerville, IA 52544
Phone (319) 666-4224

400 E Court Ave
Ste 110
Des Moines, IA 50309

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1467051888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491205",
            "telephone_number": "641-255-2970",
            "fax_number": "860-413-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CROSS ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525443501",
            "telephone_number": "641-255-2970",
            "fax_number": "860-413-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A161167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.