Individual provider Active NPI

Katherine Moore, FNP-C

  • Family Nurse Practitioner
  • Wilmington, OH
National Provider Identifier
1740834316
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024784 Issued in OH
Practice address
891 W Locust St
Wilmington, OH 45177
Phone
(937) 382-5030
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024784 OH Primary

Addresses

Primary practice location

891 W Locust St
Wilmington, OH 45177

Mailing address

891 W Locust St
Wilmington, OH 45177-2118
Phone (937) 382-5030

Other practice location 1

3055 Kettering Blvd Ste 400
Moraine, OH 45439-1968
Phone (937) 299-5379

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200401000921 OH Practitioner - Nurse Practitioner 8224467949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians
Wilmington Physicians Group LLCGroup PAC ID 4688853419, 23 clinicians

Practice addresses (Care Compare)

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

596 W Main St
Wilmington, OH 45177-2123
Phone (937) 283-2588

610 W Main St
Wilmington, OH 45177-2125
Phone (937) 283-2588

630 W Main St
Wilmington, OH 45177-2171

630 W Main St
Suite 102
Wilmington, OH 45177-2181
Phone (937) 283-2588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024784OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Sep 1, 2025 Accepting new patients
Wilmington Physicians Group LLC CurrentSince Mar 1, 2023 Accepting new patients
Vitas Healthcare Corporation of Ohio CurrentSince Jun 9, 2024 Accepting new patients
Access Medical Group LLC Past Accepting new patients
Internal Medicine Associates of Clinton County Inc PastSince Nov 17, 2019 Accepting new patients
Vitas Healthcare Corporation of Ohio PastSince Aug 1, 2019 Accepting new patients
Meritra Physicians LLC Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

3055 Kettering Blvd
Ste 400
Moraine, OH 45439
Phone (937) 299-5379

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

596 W Main St
Wilmington, OH 45177
Phone (937) 283-2588

Interoperability endpoints

  • Direct secure messaging: katherine.moore.2@6237.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1740834316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772118",
            "telephone_number": "937-382-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "45177",
            "telephone_number": "937-382-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 Kettering Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391968",
            "country_code": "US",
            "telephone_number": "937-299-5379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.