Amber Nicole Moore, FNP-C - Medicare Nurse Practitioner in Sparta, TN

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Amber Nicole Moore, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sparta, Tennessee. Her current practice location is 207 E Bockman Way, Sparta, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 836-6461.

Amber Nicole Moore is licensed to practice in Tennessee (license number 29103) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629662093.

Contact Information

Amber Nicole Moore, FNP-C
207 E Bockman Way,
Sparta, TN 38583-2041
(931) 836-6461
Not Available

Map and Direction




Provider's Profile

Full NameAmber Nicole Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location207 E Bockman Way, Sparta, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629662093
  • Provider Enumeration Date: 02/25/2021
  • Last Update Date: 11/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183030281
  • Enrollment ID: I20210316001782

Medical Identifiers

Medical identifiers for Amber Nicole Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629662093NPI-NPPES
Q064977MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 29103 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amber Nicole Moore allows following entities to bill medicare on her behalf.
Entity NameCookeville Medical Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013055912
PECOS PAC ID: 0143125237
Enrollment ID: O20031203000055

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Nicole Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amber Nicole Moore, FNP-C
225 N Willow Ave Ste 3,
Cookeville, TN 38501-2335

Ph: (931) 528-8899		Amber Nicole Moore, FNP-C
207 E Bockman Way,
Sparta, TN 38583-2041

Ph: (931) 836-6461

Reviews and Comments


Nurse Practitioner Nurses in Sparta, TN

Lyndsay Herron, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 164 Churchill Dr, Sparta, TN 38583
Phone: 931-485-5995    
Jeanne Kay Thompson, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 705 Howell St, Sparta, TN 38583
Phone: 931-739-0048    
Ms. Laura Allese Hall, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 150 Sam Walton Dr Ste 600, Sparta, TN 38583
Phone: 931-739-4000    
Anna V Benningfield, A.P.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 433 Sewell Dr, Sparta, TN 38583
Phone: 931-739-3000    Fax: 931-739-3013
James Clark Childress,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 457 Vista Dr, Sparta, TN 38583
Phone: 931-738-3383    
Kelly Lyons, A.P.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 433 Sewell Dr, Sparta, TN 38583
Phone: 931-739-3000    Fax: 931-739-3013
Nikki Realin,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 135 Walker St, Sparta, TN 38583
Phone: 931-836-2201    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.