ROSALIE MOORE NP
NPI 1104355379
Nurse Practitioner - Gerontology in Indianapolis, IN

Q: What is Rosalie Moore's NPI number?

The NPI number for Rosalie Moore is 1104355379. It was assigned to this individual provider in the NPPES registry on June 9, 2017. The provider is also known as Rosalie Baker Np.

Q: What is Rosalie Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Rosalie Moore was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 09, 2017PECOS EnrolledAccepts Medicare Assignment

2240 E 53RD ST # B-1, INDIANAPOLIS, IN 46220(317) 653-2730(317) 321-1935 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2020, Jun 9, 2017 (2 updates tracked since 2017).

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About Rosalie Moore Np NPPES

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

ROSALIE MOORE NP (NPI 1104355379) is an individual gerontology provider in Indianapolis, Indiana, licensed in Indiana (28027184A) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104355379

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameROSALIE MOORECredential: NP

Location Address2240 E 53RD ST # B-1Indianapolis, IN 46220-3479

Mailing Address30 W Monroe St Ste 1200Chicago, IL 60603-2420 · (312) 733-9730 · Fax (773) 866-8014

Phone(317) 653-2730

Fax(317) 321-1935

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 9, 2017

Last NPPES UpdateJune 23, 20202 updates tracked since enumeration

NPPES CertifiedJune 23, 2020

✔ NPI 1104355379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in IN · 28027184A

2240 E 53RD ST # B-1, Indianapolis, IN 46220

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Other Names 1

Former Name (1)Rosalie Baker Np

Other Identifiers 1

Other28027184AIN · Rn License Number

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

Rosalie 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 ID9234400870

PECOS Enrollment IDI20170801001149

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 46220 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 2

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

ELIZABETH BEERS NP

Nurse Practitioner (Primary Care)

2240 E 53RD ST # B-1
INDIANAPOLIS, IN 46220

Marion County (317) 933-7047

KATHERINE WININGHAM NP

Nurse Practitioner (Family)

2240 E 53RD ST # B-1
INDIANAPOLIS, IN 46220

Marion County (317) 933-7047

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 Rosalie Moore's NPI number?

The NPI number for Rosalie Moore is 1104355379. It was assigned to this individual provider in the NPPES registry on June 9, 2017. The provider is also known as Rosalie Baker Np.

Where is Rosalie Moore located?

Rosalie Moore practices at 2240 E 53rd St # B-1, Indianapolis, IN 46220. The listed phone number is (317) 653-2730.

What is Rosalie Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Rosalie Moore enrolled in Medicare?

Yes. Rosalie 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.

When was this NPI record last updated?

The NPPES record for Rosalie Moore was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.