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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANN ROBERTS MOORE NP
NPI 1104167386
Nurse Practitioner - Family in Tucson, AZ

Active since March 12, 2013PECOS Enrolled
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741(520) 742-9000 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Sep 29, 2020 (2 updates tracked since 2020).

About Ann Roberts Moore Np NPPES

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

ANN ROBERTS MOORE NP (NPI 1104167386) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP10573) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Ottumwa Regional Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104167386
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANN ROBERTS MOORECredential: NP
Location Address6200 N LA CHOLLA BLVDTucson, AZ 85741-3529
Mailing Address3245 Health Drive, Suite 100Granger, IN 46530-3245 · (574) 647-1840 · Fax (260) 479-3520
Phone(520) 742-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 12, 2013
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1104167386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AZ · AP10573✔ Licensed in IN · 71003777A✔ Licensed in WI · 18365-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP10573 (AZ)
6200 N LA CHOLLA BLVD, Tucson, AZ 85741
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17916 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (260) 432-2297 · Fax (260) 434-6433
Location 2500 Arcade Ave, Ste 210Elkhart, IN 46514-2485 · Phone (574) 389-5656 · Fax (574) 523-7891

Other Identifiers 1

Medicaid300012625IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource, Medica.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

Ann Roberts Moore Np 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 ID5092076935
PECOS Enrollment IDI20250408002075, I20250505001666, I20250718003796, I20250829001392
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.

Hospital Affiliations CMS Care Compare 4

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

Ottumwa Regional Health Center

Acute Care Hospitals · Ottumwa, IA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number160089
Location1001 E PennsylvaniaOttumwa, IA 52501 · Wapello County
Emergency services Birthing friendly

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340132
LocationPO Box 59Henderson, NC 27536 · Vance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

ELLEN MARIE KULESA CRNA
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
ALEXIS JIMENEZ DO
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
EMMANUEL ASLAN GALLEGOS
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
DR. DAVID M SCHWARTZ DO
Internal Medicine
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 469-8011
PAMELA D LOWE APRN, ACNPC-AG
Nurse Practitioner (Acute Care)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
ERIC STANLEY CRNA
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
CAMERON TAYLOR FRICKE BSN RN
Registered Nurse (Critical Care Medicine)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
JULIE TAMAYO DO
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000

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 Ann Moore's NPI number?

The NPI number for Ann Moore is 1104167386. It was assigned to this individual provider in the NPPES registry on March 12, 2013.

Where is Ann Moore located?

Ann Moore practices at 6200 N La Cholla Blvd, Tucson, AZ 85741. The listed phone number is (520) 742-9000.

What is Ann Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ann Moore enrolled in Medicare?

Yes. Ann 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 Ann Moore accept?

Health plans from Blue Cross Blue Shield of Arizona, CareSource and Medica list Ann 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 Ann Moore affiliated with any hospitals?

According to CMS data, Ann Moore is affiliated with Ottumwa Regional Health Center, Uphs Marquette Dlp Hospital, Onslow Memorial Hospital and Maria Parham Medical Center.

When was this NPI record last updated?

The NPPES record for Ann Moore was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.