Individual provider Active NPI

Ariel Gibson Moore, CRNP

  • Primary Care Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1689080889
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
LP-0000192 Issued in DE
Practice address
3506 Kennett Pike
Wilmington, DE 19807-3019
Phone
(302) 661-3400
Fax
(302) 656-5611
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X LP-0000192 DE Primary

Addresses

Primary practice location

3506 Kennett Pike
Wilmington, DE 19807-3019

Mailing address

3506 Kennett Pike Ste 230
Wilmington, DE 19807-3019
Phone (302) 661-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20170327001423 DE Practitioner - Nurse Practitioner 3375865447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

3301 Lancaster Pike
Suite 9
Wilmington, DE 19805-1436
Phone (302) 428-4569

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410

Hospital & facility affiliations

  • Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Mar 26, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 26, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 21, 2017 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

3506 Kennett Pike
Ste 230
Wilmington, DE 19807
Phone (302) 661-3400

3301 Lancaster Pike
Ste 9
Wilmington, DE 19805
Phone (302) 320-4569

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1689080889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 KENNETT PIKE STE 230",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073019",
            "telephone_number": "302-661-3400",
            "fax_number": "302-656-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073019",
            "telephone_number": "302-661-3400",
            "fax_number": "302-656-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ARIEL",
        "middle_name": "GIBSON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LP-0000192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.