Julia Samantha Moore, CNP - Medicare Nurse Practitioner in Ontario, OH

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Julia Samantha Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Ontario, Ohio. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ohiohealth Corporation and her current practice location is 1750 W 4th St, Ontario, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 520-3530.

Julia Samantha Moore is licensed to practice in Ohio (license number APRN.CNP.023175) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952888232.

Contact Information

Julia Samantha Moore, CNP
1750 W 4th St,
Ontario, OH 44906-1770
(419) 520-3530
Not Available

Map and Direction




Provider's Profile

Full NameJulia Samantha Moore
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1750 W 4th St, Ontario, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Julia Samantha Moore graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1952888232
  • Provider Enumeration Date: 07/19/2018
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779833595
  • Enrollment ID: I20180829000472

Medical Identifiers

Medical identifiers for Julia Samantha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952888232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.023175 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohiohealth Mansfield HospitalMansfield, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ohiohealth Corporation63057584261940

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. Julia Samantha Moore allows following entities to bill medicare on her behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532
Entity NameOhiohealth Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811207160
PECOS PAC ID: 3476733700
Enrollment ID: O20110203000715
Entity NameOhiohealth Regional Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538552468
PECOS PAC ID: 9739496902
Enrollment ID: O20150921001772

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. Julia Samantha 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
Julia Samantha Moore, CNP
1750 W 4th St,
Ontario, OH 44906-1770

Ph: (419) 520-3530		Julia Samantha Moore, CNP
1750 W 4th St,
Ontario, OH 44906-1770

Ph: (419) 520-3530

Reviews and Comments


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Lynne W Smith, ANP
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Medicare: Accepting Medicare Assignments
Practice Location: 1750 W 4th St, Ontario, OH 44906
Phone: 419-526-8111    Fax: 419-526-8114
Patricia Christine Conn, CRNP
Nurse Practitioner
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Practice Location: 1750 W 4th St, Ontario, OH 44906
Phone: 419-526-8111    Fax: 419-526-8114

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.