Individual provider Active NPI

Brianna Nicole Moore, WHNP-BC

  • Women's Health Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1508615931
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ15261100 Issued in NJ
Practice address
817 Federal St
Camden, NJ 08103-1539
Phone
(856) 583-2400
NPI assigned
May 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN713189 PA
Registered Nurse 163W00000X 26NR26663600 NJ
Women's Health Nurse Practitioner 363LW0102X SP028898 PA
Women's Health Nurse Practitioner 363LW0102X 26NJ15261100 NJ Primary

Addresses

Primary practice location

817 Federal St
Camden, NJ 08103-1539

Mailing address

1540 S Chestnut St
Paulsboro, NJ 08066-1405
Phone (856) 472-6634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241023001105 PA Practitioner - Nurse Practitioner 6608309141 Reassigns benefits to 1 organization
I20250313000363 NJ Practitioner - Nurse Practitioner 6608309141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camcare Health CorporationGroup PAC ID 2567365117, 27 clinicians

Practice addresses (Care Compare)

2610 Federal St
Camden, NJ 08105-1936
Phone (856) 583-2400

817 Federal St
Camden, NJ 08103-1539
Phone (856) 541-3270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR26663600NJMDRegistered Nurse
RN713189PAMDRegistered Nurse
26NJ15261100NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation CurrentSince Feb 1, 2025 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Sep 11, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Sep 11, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Camcare Health Corporation CurrentSince Feb 1, 2025 Accepting new patients
Camcare Health Corporation Current Accepting new patients

Locations

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

121 White Horse Pike
Clementon, NJ 08021
Phone (856) 263-9439

1315 N Delaware St
Paulsboro, NJ 08066
Phone (856) 583-2400

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

525 Jamestown St
Philadelphia, PA 19128
Phone (215) 482-7970

Organizations & group practices 6

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": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1508615931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S CHESTNUT ST",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661405",
            "telephone_number": "856-472-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-583-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIANNA",
        "middle_name": "NICOLE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN713189",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR26663600",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP028898",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ15261100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.