Individual provider Active NPI

Candie J Ross-Moore, NP

  • Gerontology Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1760488076
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5009670 Issued in NC
Practice address
123 Hendersonville Rd
Asheville, NC 28803-2868
Phone
(828) 257-4730
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 088713 MO
Gerontology Nurse Practitioner 363LG0600X 5009670 NC Primary

Addresses

Primary practice location

123 Hendersonville Rd
Asheville, NC 28803-2868

Mailing address

123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 257-4730

Other practice location 1

415 Glenmeadow Dr
Ballwin, MO 63011-3466
Phone (636) 527-4772

Other identifiers 2

IdentifierTypeStateIssuer
1760488076MedicaidNC
428628812MedicaidMO

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
I20170831001757 NC Practitioner - Nurse Practitioner 2163324666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-5500

121 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 257-4730

123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-3500

125 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 398-3601

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Area Health Education Center, Inc. Gerontology CurrentSince Aug 21, 2017 Accepting new patients
Mountain Area Health Education Center, Inc. CurrentSince Aug 21, 2017 Accepting new patients
Michele Ann Roberts, P C Adult Health Past Accepting new patients

Locations

1542 Cane Creek Rd
Fletcher, NC 28732
Phone (828) 628-8250

Interoperability endpoints

  • Direct secure messaging: candieross-moore@mahec.allscriptsdirect.net

Organizations & group practices 3

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1760488076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-257-4730",
            "fax_number": "828-257-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-257-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Glenmeadow Dr",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630113466",
            "country_code": "US",
            "telephone_number": "636-527-4772",
            "fax_number": "636-527-4772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS-MOORE",
        "first_name": "CANDIE",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "088713",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5009670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760488076",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428628812",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.