Individual provider Active NPI

Brittany Moore, CRNP

  • Family Nurse Practitioner
  • Fleetwood, PA
National Provider Identifier
1619326667
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016169 Issued in PA
Practice address
805 N Richmond St
Fleetwood, PA 19522-1058
Phone
(610) 944-0464
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016169 PA Primary

Addresses

Primary practice location

805 N Richmond St
Fleetwood, PA 19522-1058

Mailing address

805 N Richmond St
Fleetwood, PA 19522-1058
Phone (610) 944-0464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161004000228 PA Practitioner - Nurse Practitioner 0143518340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

475 Enterprise Dr
202 Royersford Office
Royersford, PA 19468-1236
Phone (610) 674-4401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016169PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Dec 15, 2022 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Dec 15, 2022 Accepting new patients

Locations

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

475 Enterprise Dr
Ste 202
Royersford, PA 19468
Phone (610) 674-4401

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

1011 Reed Ave
Ste 300
Wyomissing, PA 19610
Phone (610) 374-4401

Interoperability endpoints

  • Direct secure messaging: brittanymoore@ddal.allscriptsdirect.net

Organizations & group practices 3

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1619326667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N RICHMOND ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221058",
            "telephone_number": "610-944-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N RICHMOND ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221058",
            "telephone_number": "610-944-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRITTANY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleetwood, PA

Sources for this page

Verify at the official NPI Registry.