Individual provider Active NPI

Elissa Ann Moore, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Gold Beach, OR
National Provider Identifier
1467314591
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10053700 Issued in OR
Practice address
94180 2ND St
Gold Beach, OR 97444-8733
Phone
(541) 247-3940
NPI assigned
Nov 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10053700 OR Primary

Addresses

Primary practice location

94180 2ND St
Gold Beach, OR 97444-8733

Mailing address

94180 2ND St
Gold Beach, OR 97444-8733
Phone (541) 247-3940

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220000536 OR Practitioner - Nurse Practitioner 6507347374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curry Health DistrictGroup PAC ID 2365352747, 7 clinicians

Practice addresses (Care Compare)

94180 2ND St
Gold Beach, OR 97444-8733
Phone (541) 247-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10053700ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curry Health District CurrentSince Jan 1, 2026 Accepting new patients
Curry Health District CurrentSince Jan 1, 2026 Accepting new patients
Curry Health District Past Accepting new patients

Locations

500 5th St
Brookings, OR 97415
Phone (541) 412-2000

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

94180 2nd St
Gold Beach, OR 97444
Phone (541) 247-3940

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 2

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": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1467314591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94180 2ND ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974448733",
            "telephone_number": "541-247-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94180 2ND ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974448733",
            "telephone_number": "541-247-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELISSA",
        "middle_name": "ANN",
        "credential": "DNP, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10053700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Beach, OR

Sources for this page

Verify at the official NPI Registry.