Individual provider Active NPI

Hannah Rebekah Moore, APRN

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1720745185
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110253 Issued in WV
Practice address
1600 Medical Center Dr Ste 1500
Huntington, WV 25701-3657
Phone
(304) 691-1100
Fax
(304) 691-1153
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F06210993 WV
Family Nurse Practitioner 363LF0000X 110253 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste 1500
Huntington, WV 25701-3657

Mailing address

1600 Medical Center Dr
Huntington, WV 25701-3656

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hannah.moore@marshall.cernerdirect.com
Direct Messaging Address hannah.moore@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220926000303 KY Practitioner - Nurse Practitioner 6709261423 Reassigns benefits to 1 organization
I20221008000185 WV Practitioner - Nurse Practitioner 6709261423 Reassigns benefits to 1 organization
I20230120001989 OH Practitioner - Nurse Practitioner 6709261423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

750 Oak St
Kenova, WV 25530-1517
Phone (304) 453-6136

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06210993WVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Family CurrentSince Aug 22, 2022 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Aug 22, 2022 Accepting new patients

Locations

613 23rd St
Ste 350
Ashland, KY 41101
Phone (606) 327-0036

7718 County Road 107
Proctorville, OH 45669
Phone (704) 886-1150

156 Farmdale Rd
Barboursville, WV 25504
Phone (304) 529-7004

659 Central Ave
Barboursville, WV 25504
Phone (304) 691-6878

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701
Phone (304) 691-1100

1600 Medical Center Dr
Huntington, WV 25701
Phone (304) 691-1100

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

750 Oak St
Kenova, WV 25530
Phone (304) 453-6136

4600 Route 152
Lavalette, WV 25535
Phone (304) 697-9460

Organizations & group practices 2

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 1

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1720745185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 1500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013657",
            "telephone_number": "304-691-1100",
            "fax_number": "304-691-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HANNAH",
        "middle_name": "REBEKAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "F06210993",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "110253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hannah.moore@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "6475 Farmdale Rd",
            "city": "Barboursville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255041321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hannah.moore@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 1500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.