Organization Active NPI

Royal Oak Healthcare PLLC

  • Multi-Specialty Clinic/Center
  • Longmont, CO
National Provider Identifier
1942039607
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ROYAL OAK HEALTHCARE PLLC
Practice address
1332 Linden St Ste 1
Longmont, CO 80501-3289
Phone
(720) 600-4637
Fax
(720) 815-0443
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Melissa Moore, BSN, RN, FNP-CNPI 1447866082
Title
Owner
Phone
(970) 412-2395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

1332 Linden St Ste 1
Longmont, CO 80501-3289

Mailing address

1151 Eagle Dr # 311
Loveland, CO 80537-8020
Phone (970) 412-2395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918002623 CO Part B Supplier - Clinic/Group Practice 8325542715 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2311118Royal Oak Healthcare1332 Linden St, Suite 1, Longmont, CO 80501Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

1332 Linden St
Ste 1
Longmont, CO 80501
Phone (303) 485-7117

2004 W 15th St
Ste 2
Loveland, CO 80538
Phone (970) 217-2486

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1942039607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 EAGLE DR # 311",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378020",
            "telephone_number": "970-412-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 LINDEN ST STE 1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013289",
            "telephone_number": "720-600-4637",
            "fax_number": "720-815-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-412-2395",
        "authorized_official_credential": "BSN, RN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.