Individual provider Active NPI

Cynthia Dawn Marie Moore, RN, MSN, CNP

  • Gerontology Nurse Practitioner
  • Strongsville, OH
National Provider Identifier
1497402176
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0029650 Issued in OH
Practice address
15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000
Phone
(440) 879-1108
Fax
(440) 848-8954
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.0029650 OH Primary

Addresses

Primary practice location

15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000

Mailing address

15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000
Phone (440) 879-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220408000970 OH Practitioner - Nurse Practitioner 3971999418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurse Practitioner Health Services LLC 18 clinicians

Practice addresses (Care Compare)

15400 Pearl Rd
Suite 238
Strongsville, OH 44136-6000
Phone (440) 879-1258

Hospital & facility affiliations

  • TLC Home Healthcare LLC Home health agency, Warren, OH, CCN 369258
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Merit-based Incentive Payment System (MIPS)

Final score
19.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029650OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner Health Services, LLC CurrentSince Mar 10, 2022 Accepting new patients

Locations

19530 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-7500

15400 Pearl Rd
Ste 238
Strongsville, OH 44136
Phone (440) 879-1258

15400 Pearl Rd
Ste 230
Strongsville, OH 44136

Organizations & group practices 1

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 5

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1497402176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "440-879-1108",
            "fax_number": "440-848-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "440-879-1108",
            "fax_number": "440-848-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CYNTHIA",
        "middle_name": "DAWN MARIE",
        "credential": "RN, MSN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0029650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.