Individual provider Active NPI

Jessica Moore, FNP-C

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1922645688
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143446 Issued in TX
Practice address
4351 Ridgemont Dr Ste a
Abilene, TX 79606-8747
Phone
(254) 245-9175
Fax
(254) 213-7771
NPI assigned
Dec 2, 2019
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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 AP143446 TX Primary

Addresses

Primary practice location

4351 Ridgemont Dr Ste a
Abilene, TX 79606-8747

Mailing address

4817 Big Bend TRL
Abilene, TX 79602-1272
Phone (325) 669-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200304002142 TX Practitioner - Nurse Practitioner 0648607648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Urgent Care LLCGroup PAC ID 1658632872, 14 clinicians

Practice addresses (Care Compare)

4438 S Clack St
Suite 200
Abilene, TX 79606-3634
Phone (325) 704-4470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143446TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Urgent Care LLC CurrentSince Oct 18, 2024 Accepting new patients
West Texas Urgent Care LLC CurrentSince Oct 18, 2024 Accepting new patients

Locations

4438 S Clack St
Ste 200
Abilene, TX 79606
Phone (325) 704-4470

2424 Quaker Ave
Lubbock, TX 79410
Phone (806) 283-5844

Organizations & group practices 2

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": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1922645688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 BIG BEND TRL",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021272",
            "telephone_number": "325-669-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 RIDGEMONT DR STE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068747",
            "telephone_number": "254-245-9175",
            "fax_number": "254-213-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.