Michael D Moore, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3013243 Issued in KY

Practice address

1031 Highway 11 N
Beattyville, KY 41311-9240

Phone

(606) 919-1901

Fax

(606) 919-1904

NPI assigned

Mar 31, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Moore LLCGroup PAC ID 6901278258, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marcum and Wallace Memorial Hospital Hospital, Irvine, KY, CCN 181301

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• MD Moore LLC

  • Rural Health Clinic/Center
  • Beattyville, KY
  • NPI 1841917762

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• MD Moore LLC

  • Family Medicine Physician
  • Beattyville, KY
  • NPI 1992422802
  Medicare reassignment Care Compare group NPD
• MD Moore LLC

  • Rural Health Clinic/Center
  • Beattyville, KY
  • NPI 1841917762
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health-Marcum & Wallace Hospital LLC

  • Critical Access Hospital
  • Irvine, KY
  • NPI 1487643821
  Care Compare affiliation

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1508327537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 HIGHWAY 11 N",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413119240",
            "telephone_number": "606-919-1901",
            "fax_number": "606-919-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 HIGHWAY 11 N",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413119240",
            "telephone_number": "606-919-1901",
            "fax_number": "606-919-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Moore LLC
• MD Moore LLC
• Mercy Health Clinics, LLC
• Allison Nicole Mink, PHARMD
• Peggy Steele Moody, RPH
• Caylon Napier
• Debra Litteral Napier, RPH
• Makenzie Lexis Neace, PHARMD
• Katilynn Newnam, LCSW
• Michael Shawn Nix, LCADC

• Family Nurse Practitioner in Beattyville, KY
• Providers in Beattyville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.