KATHLEEN MARIE MOORE APRN-CNP
NPI 1053573717
Nurse Practitioner - Adult Health in Columbus, OH

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
915 OLENTANGY RIVER RD STE 4000, COLUMBUS, OH 43212(614) 366-3687(614) 293-9698 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Jul 21, 2022, Jun 1, 2017 and 2 more (5 updates tracked since 2016).

About Kathleen Marie Moore Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN MARIE MOORE APRN-CNP (NPI 1053573717) is an individual adult health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.13664) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053573717
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHLEEN MARIE MOORECredential: APRN-CNP
Location Address915 OLENTANGY RIVER RD STE 4000Columbus, OH 43212-3154
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 366-3687 · Fax (614) 293-9698
Fax(614) 293-9698
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2008
Last NPPES UpdateDecember 8, 20225 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
NPI 1053573717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OH · APRN.CNP.13664
915 OLENTANGY RIVER RD STE 4000, Columbus, OH 43212

Other Names 1

Former Name (1)Kathleen Mash

Other Identifiers 1

Medicaid0079512OH

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

Kathleen Marie Moore Aprn-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.

PECOS PAC ID8527205533
PECOS Enrollment IDI20130511000112
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
218 services168 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
144 services119 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
128 services128 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
108 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients
Repositioning exercises of head for treatment of dizziness, each day 95992
Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212

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 Kathleen Moore's NPI number?

The NPI number for Kathleen Moore is 1053573717. It was assigned to this individual provider in the NPPES registry on June 25, 2008. The provider is also known as Kathleen Mash.

Where is Kathleen Moore located?

Kathleen Moore practices at 915 Olentangy River Rd Ste 4000, Columbus, OH 43212. The listed phone number is (614) 366-3687.

What is Kathleen Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathleen Moore enrolled in Medicare?

Yes. Kathleen 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 Kathleen Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kathleen 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 Kathleen Moore affiliated with any hospitals?

According to CMS data, Kathleen Moore is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Kathleen Moore was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.