Jessica Moore, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

872420 Issued in NV

Practice address

10421 Wellington Manor Ave
Las Vegas, NV 89129-4502

Phone

(702) 883-6278

NPI assigned

Nov 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eds-I Homansky Practices of Nevada PCGroup PAC ID 2062635378, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eds-I Homansky Practices of Nevada PC

  • Nurse Practitioner
  • Pahrump, NV
  • NPI 1720540628
  Medicare reassignment Care Compare group NPD
• Superior Emergency Physicians Harris, PLLC

  • Emergency Medicine Physician
  • North Las Vegas, NV
  • NPI 1356885222
  Medicare reassignment NPD
• Eds-I Homansky Practices of Nevada PC

  • Emergency Medicine Physician
  • Sparks, NV
  • NPI 1073290516

  Nurse Practitioner

  NPD
• Eds-I Homansky Practices of Nevada PC

  • Emergency Medicine Physician
  • Reno, NV
  • NPI 1902408024

  Nurse Practitioner

  NPD
• Omuc LLC

  • Urgent Care Clinic/Center
  • Pahrump, NV
  • NPI 1316648777
  NPD

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1982478624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 WELLINGTON MANOR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294502",
            "telephone_number": "702-883-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 WELLINGTON MANOR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294502",
            "telephone_number": "702-883-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "872420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Moore
• Jennifer C Moore, M.S.W., L.C.S.W.
• Jerri Moore
• Jesse Moore
• Jesse James Moore Sr.
• John Moore
• Joselyn Moore
• Josette Moore
• Joshua J Moore, DO
• Joshua Lamar Moore

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.

Verify at the official NPI Registry.