Nicole Patricia Moore, NP - Medicare Nurse Practitioner in Valley Stream, NY

Nicole Patricia Moore, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Valley Stream, New York. Her current practice location is 900 Franklin Ave, Valley Stream, New York. You can reach out to her office (for appointments etc.) via phone at (516) 256-6000.

Nicole Patricia Moore is licensed to practice in New York (license number 432399) 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 1043938392.

Contact Information

Nicole Patricia Moore, NP
900 Franklin Ave,
Valley Stream, NY 11580-2145
(516) 256-6000
Not Available

Map and Direction




Provider's Profile

Full NameNicole Patricia Moore
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location900 Franklin Ave, Valley Stream, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043938392
  • Provider Enumeration Date: 08/22/2022
  • Last Update Date: 08/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082086095
  • Enrollment ID: I20230220001716

Medical Identifiers

Medical identifiers for Nicole Patricia Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043938392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 695945 (New York)Secondary
363LA2100XNurse Practitioner - Acute Care 432399 (New York)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. Nicole Patricia Moore allows following entities to bill medicare on her behalf.
Entity NameNorth Shore Health System Medical Faculty Group Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003409061
PECOS PAC ID: 8022417328
Enrollment ID: O20210518002265

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. Nicole Patricia 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
Nicole Patricia Moore, NP
900 Franklin Ave,
Valley Stream, NY 11580-2145

Ph: (516) 256-6000
Nicole Patricia Moore, NP
900 Franklin Ave,
Valley Stream, NY 11580-2145

Ph: (516) 256-6000

Reviews and Comments


Nurse Practitioner Nurses in Valley Stream, NY

Ms. Abimbola Jaiyesimi, NP
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Practice Location: 42 Rose Ave, Valley Stream, NY 11580
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Ms. Janice Campbell-brewster, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 28 Liberty Blvd, Valley Stream, NY 11580
Phone: 347-737-3009    

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.