MRS. JACQUELINE MOORE FNP-C
NPI 1033611256
Nurse Practitioner - Family in Monticello, MS
About Mrs. Jacqueline Moore Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE MOORE FNP-C (NPI 1033611256) is an individual family provider in Monticello, Mississippi, licensed in Mississippi (902473) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brookhaven.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jacqueline Moore Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTICELLO, MS 39654
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 Jacqueline Moore's NPI number?
The NPI number for Jacqueline Moore is 1033611256. It was assigned to this individual provider in the NPPES registry on March 3, 2018.
Where is Jacqueline Moore located?
Jacqueline Moore practices at 314 Main St Ste D, Monticello, MS 39654. The listed phone number is (601) 587-4304.
What is Jacqueline Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Moore enrolled in Medicare?
Yes. Jacqueline Moore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacqueline Moore was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mrs. Jacqueline Moore, FNP-C · NPI 1033611256
Family physician in Monticello, Mississippi. Individual provider, active in the CMS NPPES registry since March 3, 2018.
## Identity
- **NPI:** 1033611256 (Entity type: Individual)
- **Enumerated:** March 3, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 902473 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 314 MAIN ST STE D, Monticello, MS 39654-3702
- **Phone:** (601) 587-4304
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 6, 2021
- **Other identifiers:** Other 902473 (MS); Medicaid 902473 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1033611256) · Data from the CMS NPPES public registry.