Individual provider Active NPI

Nicole Moore, CNP

  • Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1518473537
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022133 Issued in OH
Practice address
129 N Maysville Ave
Zanesville, OH 43701-6112
Phone
(740) 588-0008
Fax
(740) 588-0008
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.022133 OH Primary

Addresses

Primary practice location

129 N Maysville Ave
Zanesville, OH 43701-6112

Mailing address

1950 Meadow Creek Dr
Zanesville, OH 43701-7243
Phone (740) 252-6762

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
I20180205002802 OH Practitioner - Nurse Practitioner 1658631916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Group LLCGroup PAC ID 0143453670, 54 clinicians

Practice addresses (Care Compare)

1210 Neal Dr
Cambridge, OH 43725-1143
Phone (740) 439-8898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.6 of 100Reported as group
Quality
75.56
Improvement activities
40
Cost
59.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Medical Family Practice, LLC CurrentSince Jul 1, 2021 Accepting new patients
Pain Management Group LLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Body Balance Natural Health CurrentSince Aug 28, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

1210 Neal Dr
Cambridge, OH 43725
Phone (740) 435-2350

630 W Main St
Ste 102
Wilmington, OH 45177
Phone (937) 283-2580

1128 Linden Ave
Zanesville, OH 43701
Phone (740) 255-4008

Organizations & group practices 4

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 7

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": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1518473537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 MEADOW CREEK DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017243",
            "telephone_number": "740-252-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N MAYSVILLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016112",
            "telephone_number": "740-588-0008",
            "fax_number": "740-588-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.