Individual provider Active NPI

Tiffanee Rachelle Moore, CRNP

  • Family Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1760070809
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-142871 Issued in AL
Practice address
1121 Greenwood Xing Ste 101
Bessemer, AL 35022-5687
Phone
(866) 284-8788
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 1-142871 AL Primary

Addresses

Primary practice location

1121 Greenwood Xing Ste 101
Bessemer, AL 35022-5687

Mailing address

416 Grey Oaks Dr
Pelham, AL 35124-2541
Phone (334) 549-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220328001515 AL Practitioner - Nurse Practitioner 6406241553 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Healthcare Group LLCGroup PAC ID 8224412234, 15 clinicians
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

Gulf Shores, AL 36542
Phone (865) 604-2284

105 Vulcan Rd
Suite 221
Birmingham, AL 35209-4701
Phone (205) 378-8151

12375 Chelsea Rd
Chelsea, AL 35043-7463
Phone (205) 677-6401

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-142871ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Care Solutions LLC CurrentSince May 1, 2025 Accepting new patients
American Family Care, LLC CurrentSince Jul 28, 2024 Accepting new patients
TLC Healthcare Providers LLC Family CurrentSince Apr 1, 2024 Accepting new patients
Regional Healthcare Group LLC CurrentSince Mar 24, 2025 Accepting new patients
American Family Care, LLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

105 Vulcan Rd
Ste 221
Homewood, AL 35209
Phone (205) 245-5621

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

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.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1760070809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 GREY OAKS DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242541",
            "telephone_number": "334-549-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 GREENWOOD XING STE 101",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225687",
            "telephone_number": "866-284-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIFFANEE",
        "middle_name": "RACHELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-142871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.