Individual provider Active NPI

Paul Lewis Moore, F.N.P.

  • Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1699825828
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201311 Issued in NC
Practice address
257 Biltmore Ave
Asheville, NC 28801-4120
Phone
(828) 285-0622
Fax
(828) 348-2025
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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 201311 NC Primary

Addresses

Primary practice location

257 Biltmore Ave
Asheville, NC 28801-4120

Mailing address

PO Box 338
Asheville, NC 28802-0338
Phone (828) 285-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080318000410 NC Practitioner - Nurse Practitioner 8426134339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201311NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western North Carolina Community Health Services, Inc. CurrentSince Jan 13, 2014 Accepting new patients
Western North Carolina Community Health Services Inc. Current Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Jan 13, 2014 Accepting new patients
County of Buncombe Past Accepting new patients

Locations

257 Biltmore Ave
Asheville, NC 28801
Phone (828) 285-0622

Interoperability endpoints

  • Direct secure messaging: pmoore603927@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1699825828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288020338",
            "telephone_number": "828-285-0622",
            "fax_number": "828-348-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014120",
            "telephone_number": "828-285-0622",
            "fax_number": "828-348-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PAUL",
        "middle_name": "LEWIS",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.