Active NPI
Candie J Ross-Moore, NP
- Gerontology Nurse Practitioner
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5009670
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760488076 | Medicaid | NC | |
| 428628812 | Medicaid | MO |
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
Enrollment records 1
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 100
- Quality
- 77.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Area Health Education Center, Inc. | Gerontology | Current | Accepting new patients |
| Mountain Area Health Education Center, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Asheville, NC
- NPI 1952356388
Gerontology
-
- Federally Qualified Health Center (FQHC)
- Asheville, NC
- NPI 1295390409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.