Kathleen Moore, CNP - Medicare Nurse Practitioner in Canton, OH

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Kathleen Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Canton, Ohio. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cleveland Clinic Foundation, Mercy Professional Care, Llc and her current practice location is 1320 Mercy Dr Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 588-4676.

Kathleen Moore is licensed to practice in Ohio (license number APRN.CNP.024429) 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 1003453218.

Contact Information

Kathleen Moore, CNP
1320 Mercy Dr Nw,
Canton, OH 44708-2614
(330) 588-4676
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Moore
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1320 Mercy Dr Nw, Canton, 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:
  • Kathleen Moore attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2019
  NPI Data:
  • NPI Number: 1003453218
  • Provider Enumeration Date: 12/06/2019
  • Last Update Date: 09/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810325057
  • Enrollment ID: I20200320002610

Medical Identifiers

Medical identifiers for Kathleen Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003453218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.024429 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterCanton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cleveland Clinic Foundation18502035555680
Mercy Professional Care, Llc741685719869

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. Kathleen Moore allows following entities to bill medicare on her behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049
Entity NameMercy Professional Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827876
PECOS PAC ID: 7416857198
Enrollment ID: O20040109000676
Entity NameCleveland Clinic Mercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366433195
PECOS PAC ID: 0547156796
Enrollment ID: O20040224001287

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. Kathleen 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
Kathleen Moore, CNP
1330 Mercy Dr Nw Ste 101,
Canton, OH 44708-2624

Ph: () -		Kathleen Moore, CNP
1320 Mercy Dr Nw,
Canton, OH 44708-2614

Ph: (330) 588-4676

Reviews and Comments


Nurse Practitioner Nurses in Canton, OH

Mrs. Rachel Elizabeth Starr, FNP-C
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Phone: 330-363-7444    Fax: 330-363-7770
Jaime Marie Rennecker,
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Practice Location: 2600 Sixth St Sw, Canton, OH 44710
Phone: 330-363-5433    Fax: 330-363-7785
Heather Baker, AGACNP
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Kenzie Miller,
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Phone: 330-363-9632    

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.