Active NPI
Jessica Moore, FNP-C
- Family Nurse Practitioner
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP143446
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP143446 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Urgent Care LLC | Current | Accepting new patients | |
| West Texas Urgent Care LLC | Current | 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.
-
dba My Urgent Care Clinic
- Urgent Care Clinic/Center
- Abilene, TX
- NPI 1194146399
-
dba My Urgent Care Bergheim
- Urgent Care Clinic/Center
- Boerne, TX
- NPI 1013764695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.