Individual provider Active NPI

Kristy Dawn Moore, FNP-C

  • Nurse Practitioner
  • Prosper, TX
National Provider Identifier
1982624029
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
626682 Issued in TX
Practice address
1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone
(469) 296-1049
Fax
(844) 209-9082
NPI assigned
Jul 20, 2006
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 626682 TX Primary

Addresses

Primary practice location

1061 N Coleman St Ste 10
Prosper, TX 75078-2318

Mailing address

1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone (469) 296-1049

Other identifiers 1

IdentifierTypeStateIssuer
202135253OtherTXTAX

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
I20071212000406 TX Practitioner - Nurse Practitioner 4880784032 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nobility Medical PLLCGroup PAC ID 6002196300, 22 clinicians
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians
Communitymed PLLCGroup PAC ID 9830315126, 46 clinicians

Practice addresses (Care Compare)

1061 N Coleman St
Suite 10
Prosper, TX 75078-2317
Phone (940) 365-9400

2001 N Preston Rd
Suite 80
Prosper, TX 75078-3271
Phone (469) 907-5012

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

3210 Midwestern Pkwy
Suite 500a
Wichita Falls, TX 76308-2860
Phone (940) 488-4616

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
626682TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Communitymed PCP CurrentSince Apr 22, 2024 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Jun 29, 2023 Accepting new patients
Nobility Medical PLLC CurrentSince Aug 2, 2025 Accepting new patients
Primary Health Physicians, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Communitymed PLLC CurrentSince Apr 22, 2024 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Nov 13, 2023 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Doctors Express of the Temple Area, PA PastSince Nov 13, 2023 Accepting new patients

Locations (25 of 34)

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6320 US 287 Hwy
Ste 112
Arlington, TX 76001
Phone (817) 778-9883

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

3600 FM 407 E
Ste 220
Bartonville, TX 76226
Phone (940) 220-7510

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

11350 US Highway 380
Ste 100
Cross Roads, TX 76227
Phone (214) 296-2945

8700 US Highway 380
Ste 200
Cross Roads, TX 76227
Phone (940) 365-9400

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

2432 Avondale Haslet Rd
Ste 100
Haslet, TX 76052
Phone (682) 312-3969

295 FM 156 S
Ste 300
Haslet, TX 76052
Phone (817) 779-4382

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

104 S Main St
Keller, TX 76248
Phone (214) 295-9385

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

3020 E Broad St
Ste 100
Mansfield, TX 76063
Phone (682) 282-4014

2619 Sentinel Way
Ste 200
Melissa, TX 75454
Phone (469) 649-8905

3591 McKinney St
Ste 400A
Melissa, TX 75454
Phone (729) 464-1611

2410 FM 663
Midlothian, TX 76065
Phone (469) 965-9600

5208 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (469) 802-7298

670 W Princeton Dr
Ste 400
Princeton, TX 75407
Phone (469) 500-5892

1000 N Preston Rd
Ste 60
Prosper, TX 75078
Phone (469) 342-7010

1061 N Coleman St
Ste 10
Prosper, TX 75078
Phone (940) 365-9400

Organizations & group practices 9

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1982624029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782318",
            "telephone_number": "469-296-1049",
            "fax_number": "844-209-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782318",
            "telephone_number": "469-296-1049",
            "fax_number": "844-209-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTY",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "626682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX",
            "identifier": "202135253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.