Individual provider Active NPI

Quentin Moore, ARNP

  • Registered Nurse
  • Lexington, KY
National Provider Identifier
1497842009
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1051982 Issued in KY
Practice address
1055 Dove Run Rd
Lexington, KY 40502-3536
Phone
(859) 269-4668
Fax
(859) 266-5577
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1051982 KY Primary
Primary Care Nurse Practitioner 363LP2300X 4172P KY

Addresses

Primary practice location

1055 Dove Run Rd
Lexington, KY 40502-3536

Mailing address

1055 Dove Run Rd
Suite 200
Lexington, KY 40502-3536
Phone (859) 268-0061

Other identifiers 1

IdentifierTypeStateIssuer
78013703MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040909000386 KY Practitioner - Nurse Practitioner 1153397294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Health of Kentucky, LLCGroup PAC ID 1052792041, 57 clinicians

Practice addresses (Care Compare)

251 Democrat Dr
Frankfort, KY 40601-9214
Phone (502) 385-0695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1051982KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Kentucky, LLC CurrentSince Feb 10, 2023 Accepting new patients
North Lexington Urgent Treatment Associates PSC Past Accepting new patients

Locations

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

251 Democrat Dr
Frankfort, KY 40601
Phone (502) 385-0695

177 Burt Rd
Lexington, KY 40503
Phone (859) 276-1511

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497842009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023536",
            "telephone_number": "859-268-0061",
            "fax_number": "859-266-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023536",
            "telephone_number": "859-269-4668",
            "fax_number": "859-266-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "QUENTIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1051982",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "4172P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013703",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.