Individual provider Active NPI

Alyssa Moore, NP

  • Women's Health Nurse Practitioner
  • Helena, MT
National Provider Identifier
1780474957
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NUR-APRN-LIC-263317 Issued in MT
Practice address
1500 Cannon St
Helena, MT 59601-2042
Phone
(406) 869-5000
NPI assigned
May 9, 2025
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NUR-APRN-LIC-263317 MT Primary

Addresses

Primary practice location

1500 Cannon St
Helena, MT 59601-2042

Mailing address

1500 Cannon St
Helena, MT 59601-2042
Phone (406) 869-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20250904004338 MT Practitioner - Nurse Practitioner 1759883291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Planned Parenthood IncGroup PAC ID 1850294570, 6 clinicians

Practice addresses (Care Compare)

1500 Cannon St
Helena, MT 59601-2042
Phone (406) 443-7676

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-263317MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Planned Parenthood Inc CurrentSince Aug 5, 2025 Accepting new patients
Intermountain Planned Parenthood CurrentSince May 11, 2025 Accepting new patients
Rich Psychiatry & Wellness PLLC PastSince Sep 20, 2021 Accepting new patients

Locations

1643 Lewis Ave
Ste 211
Billings, MT 59102

1500 Cannon St
Helena, MT 59601
Phone (406) 443-7676

1500 Cannon St
Ste 201
Helena, MT 59601

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1780474957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CANNON ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012042",
            "telephone_number": "406-869-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CANNON ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012042",
            "telephone_number": "406-869-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALYSSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-263317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.