Marybeth Rizzo Moore, CRNP
Individual provider Active NPI Family Nurse Practitioner · Kennett Square, PA
NPI 1902072010 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1902072010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP012712 (PA)
- Practice address
- 870 E Baltimore Pike
1074
Kennett Square, PA 19348-1842 - Phone
- (866) 389-2727
- NPI assigned
- May 8, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic Diagnostic of Pennsylvania LLC
Practice addresses (Care Compare)
1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 398-2727
760 Miles Rd
West Chester, PA 19380-1950
Phone (866) 389-2727
870 E Baltimore Pike
Kennett Square, PA 19348-1842
Phone (866) 389-2727
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130603000181 | PA | Practitioner - Nurse Practitioner | 0244478287 | Reassigns benefits to 4 organizations |
| I20200724000295 | DE | Practitioner - Nurse Practitioner | 0244478287 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN332698L | PA | MD | Registered Nurse |
Practice roles (10 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Minuteclinic Video Virtual Care, PLLC | Family | Current |
Accepting new patients |
| Christiana Care Health Services, Inc | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients |
Locations
726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770
100 S Riding Blvd
#2
Wilmington, DE 19808
Phone (302) 623-2850
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920
161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060
161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042
731 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-7550
721 E Baltimore Pike
Kennett Square, PA 19348
Phone (302) 661-3374
870 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 444-9081
870 E Baltimore Pike
#1074
Kennett Square, PA 19348
Phone (610) 444-9081
840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303
14 S 3rd St
Oxford, PA 19363
Phone (610) 444-7550
1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290
900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN332698L | PA | |
| Family Nurse Practitioner | 363LF0000X | LG-0001408 | DE | |
| Family Nurse Practitioner | 363LF0000X | SP012712 | PA | Yes |
Addresses
Primary practice location
870 E Baltimore Pike
1074
Kennett Square, PA 19348-1842
Mailing address
870 E Baltimore Pike
Kennett Square, PA 19348-1842
Phone (866) 389-2727
Other practice location 1
731 W Cypress St
Kennett Square, PA 19348-2419
Phone (610) 444-7550
Other practice location 2
721 E Baltimore Pike
Kennett Square, PA 19348-2405
Phone (610) 765-4200
Other providers in Kennett Square, PA
- Stephanie A Richers
- Sydney Nicole Rigsby
- Carole Riley
- Tiffany M Riley
- Rite Medical Care PC
- Olivia Anne Robb
- Katie Gable Robinson
- Justin Rochester
- Cecilia Rodriguez
- Christine Rodriguez
All providers in Kennett Square, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.