Simona Lydia Moore, C.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP4502 Issued in OH

Practice address

206 S Mulberry St Ste a
Mount Vernon, OH 43050-3331

Phone

(330) 473-2569

Fax

(740) 326-1175

NPI assigned

Jun 30, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: simonamoorecnp@slmc-oh.direct.office.nextgen.com

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.

• Simona L Moore CNP LLC

  • Family Nurse Practitioner
  • Mount Vernon, OH
  • NPI 1336487081
  Medicare reassignment Authorized official
• Knox County General Health District

  dba Knox Public Health

  • Public Health or Welfare Agency
  • Mount Vernon, OH
  • NPI 1306818075
  NPD
• Knox County General Health District

  dba Knox County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, OH
  • NPI 1740727510
  NPD
• Knox County General Health District

  dba Centerburg Health Center

  • Federally Qualified Health Center (FQHC)
  • Centerburg, OH
  • NPI 1841173515
  NPD
• Revive Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Vernon, OH
  • NPI 1003601220
  NPD
• Knox County General Health District

  dba KCCHC Walk-In Clinic

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, OH
  • NPI 1033878962
  NPD (past)
• Knox County General Health District

  dba Mount Vernon Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, OH
  • NPI 1265207658
  NPD (past)

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

• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679502181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MULBERRY ST STE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503331",
            "telephone_number": "740-326-1231",
            "fax_number": "740-326-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MULBERRY ST STE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503331",
            "telephone_number": "330-473-2569",
            "fax_number": "740-326-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SIMONA",
        "middle_name": "LYDIA",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.232279-COA1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP4502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2271796",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Moore, RPH
• Jordan Russell Moore
• Julie Ann Moore
• Margo Beth Moore, RN
• Mikayla Moore
• Steven Moore, OPTICIAN
• Truly Joy Moore, PT
• Trevor Dylan Moravec, MD
• More Than Sight LLC
• Molly Morehouse, LISW

• Family Nurse Practitioner in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.