Sarah Michelle Moore, APRN-CNM, PMHNP-BC - Medicare Nurse Practitioner in Fort Wayne, IN

Sarah Michelle Moore, APRN-CNM, PMHNP-BC is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 909 E State Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 481-2700.

Sarah Michelle Moore is licensed to practice in Indiana (license number 71009864A) 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 1003459561.

Contact Information

Sarah Michelle Moore, APRN-CNM, PMHNP-BC
909 E State Blvd,
Fort Wayne, IN 46805-3404
(260) 481-2700
(260) 481-2838

Map and Direction




Provider's Profile

Full NameSarah Michelle Moore
GenderFemale
SpecialityNurse Practitioner
Location909 E State Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003459561
  • Provider Enumeration Date: 10/28/2019
  • Last Update Date: 08/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072977230
  • Enrollment ID: I20230907000795

Medical Identifiers

Medical identifiers for Sarah Michelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003459561NPI-NPPES
28255494AOtherINREGISTERED NURSE
09000336AOtherINNURSE MIDWIFE
APRN.CNM.019414OtherOHAPRN
2022138568OtherPMHNP-BC
71009864AOtherINAPRN
CNM05835OtherCERTIFIED NURSE MIDWIFE
RN.446639OtherOHREGISTERED NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife APRN.CNM.019414 (Ohio)Secondary
163W00000XRegistered Nurse RN.446639 (Ohio)Secondary
363L00000XNurse Practitioner 71009864A (Indiana)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. Sarah Michelle Moore allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288
Entity NamePark Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897004
PECOS PAC ID: 5991794794
Enrollment ID: O20041213000226

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. Sarah Michelle 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
Sarah Michelle Moore, APRN-CNM, PMHNP-BC
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -
Sarah Michelle Moore, APRN-CNM, PMHNP-BC
909 E State Blvd,
Fort Wayne, IN 46805-3404

Ph: (260) 481-2700

Reviews and Comments


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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.