MR. KENNETH LEVI MOORE III CNP
NPI 1013995323
Nurse Practitioner - Family in Dayton, OH
About Mr. Kenneth Levi Moore Iii Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH LEVI MOORE III CNP (NPI 1013995323) is an individual family provider in Dayton, Ohio, licensed in Ohio (273520) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains a secondary practice location in Dayton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kenneth Levi Moore Iii Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Dayton
Acute Care Hospitals · Dayton, OHKettering Health Miamisburg
Acute Care Hospitals · Miamisburg, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CENTERVILLE, OH 45459
CENTERVILLE, OH 45459
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Moore's NPI number?
The NPI number for Kenneth Moore is 1013995323. It was assigned to this individual provider in the NPPES registry on January 6, 2006.
Where is Kenneth Moore located?
Kenneth Moore practices at 101 E Alex Bell Rd Ste 190, Dayton, OH 45459. The listed phone number is (937) 425-4030.
What is Kenneth Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kenneth Moore enrolled in Medicare?
Yes. Kenneth Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kenneth Moore accept?
Health plans from CareSource, MedMutual and UnitedHealthcare list Kenneth Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kenneth Moore affiliated with any hospitals?
According to CMS data, Kenneth Moore is affiliated with Kettering Health Dayton and Kettering Health Miamisburg.
When was this NPI record last updated?
The NPPES record for Kenneth Moore was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Kenneth Levi Moore III, CNP · NPI 1013995323
Family physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since January 6, 2006.
## Identity
- **NPI:** 1013995323 (Entity type: Individual)
- **Enumerated:** January 6, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 273520 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E ALEX BELL RD STE 190, Dayton, OH 45459-2752
- **Phone:** (937) 425-4030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013995323) · Data from the CMS NPPES public registry.