MS. GLENDA IRENE MOORE FNP
NPI 1083698393
Nurse Practitioner - Primary Care in Oakland, CA

Q: What is Glenda Moore's NPI number?

The NPI number for Glenda Moore is 1083698393. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Glenda Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Glenda Moore was last updated on October 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2005PECOS Enrolled

2505 W 14TH ST, OAKLAND, CA 94607(510) 587-3400 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ms. Glenda Irene Moore Fnp NPPES

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

MS. GLENDA IRENE MOORE FNP (NPI 1083698393) is an individual primary care provider in Oakland, California, licensed in California (514085) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083698393

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMS. GLENDA IRENE MOORECredential: FNP

Location Address2505 W 14TH STOakland, CA 94607-5031

Mailing Address306 Mercury WayPleasant Hill, CA 94523-2185 · (925) 676-0743

Phone(510) 587-3400

Sole ProprietorNo

Enumeration DateNovember 30, 2005

Last NPPES UpdateOctober 14, 2015

✔ NPI 1083698393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 514085

2505 W 14TH ST, Oakland, CA 94607

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Glenda Irene Moore Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94607 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.