Individual provider Active NPI

Bonnie Jo Moore, CRNP

  • Family Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1619901139
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-138378 Issued in AL
Practice address
1001 Brocks Gap Pkwy Ste 101
Hoover, AL 35244-4028
Phone
(205) 421-1032
NPI assigned
Jul 10, 2006
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP006263B PA
Family Nurse Practitioner 363LF0000X 1-138378 AL Primary

Addresses

Primary practice location

1001 Brocks Gap Pkwy Ste 101
Hoover, AL 35244-4028

Mailing address

1001 Brocks Gap Pkwy Ste 101
Hoover, AL 35244-4028

Other practice location 1

5295 Preserve Pkwy
Suite 240
Hoover, AL 35244-4701
Phone (205) 682-9124

Other practice location 2

5295 Preserve Pkwy
Suite 240
Hoover, AL 35244
Phone (205) 682-9124

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address moore.bonnie@direct.uabmw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20140924000916 AL Practitioner - Nurse Practitioner 9335150648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1001 Brocks Gap Pkwy
Suite 101
Hoover, AL 35244-4082
Phone (205) 421-1032

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-138378ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince May 1, 2018 Accepting new patients
Baptist Health Centers LLC CurrentSince May 1, 2018 Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System CurrentSince Oct 12, 2020 Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System Nurse Practitioner CurrentSince Oct 12, 2020 Accepting new patients

Locations

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

200 Beacon Pkwy W
Ste 330
Birmingham, AL 35209

1001 Brocks Gap Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 421-1032

5295 Preserve Pkwy
Ste 210
Hoover, AL 35244
Phone (205) 682-6077

5295 Preserve Pkwy
Ste 240
Hoover, AL 35244
Phone (205) 682-9124

Interoperability endpoints

  • Direct secure messaging: moore.bonnie@direct.uabmw.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1619901139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BROCKS GAP PKWY STE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BROCKS GAP PKWY STE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444028",
            "telephone_number": "205-421-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5295 Preserve Pkwy",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444701",
            "country_code": "US",
            "telephone_number": "205-682-9124",
            "fax_number": "205-682-7646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5295 Preserve Pkwy",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "35244",
            "country_code": "US",
            "telephone_number": "205-682-9124",
            "fax_number": "205-682-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BONNIE",
        "middle_name": "JO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP006263B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-138378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moore.bonnie@direct.uabmw.org",
            "affiliation": "N",
            "address_1": "1001 Brocks Gap Pkwy Ste 101",
            "city": "Hoover",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352444028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.