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NATHANIEL P. MOORE PA
NPI 1124406178
Physician Assistant in Burlington, VT

Active since May 11, 2015PECOS Enrolled
111 COLCHESTER AVE., UVM MEDICAL CENTER - SURGERY/EMERGENCY DEPT., BURLINGTON, VT 05401(802) 847-2434(802) 847-4802 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathaniel P. Moore Pa NPPES

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

NATHANIEL P. MOORE PA (NPI 1124406178) is an individual physician assistant in Burlington, Vermont, licensed in Vermont (055.0031256) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124406178
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHANIEL P. MOORECredential: PA
Location Address111 COLCHESTER AVE., UVM MEDICAL CENTER - SURGERY/EMERGENCY DEPT.Burlington, VT 05401-1473
Mailing Address111 Colchester Ave., Uvm Medical Center - Surgery/emergency Dept.Burlington, VT 05401-1473 · (802) 847-2434 · Fax (802) 847-4802
Phone(802) 847-2434
Fax(802) 847-4802
Sole ProprietorNo
Enumeration DateMay 11, 2015
Last NPPES UpdateJune 8, 2015
✔ NPI 1124406178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VT · 055.0031256
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 COLCHESTER AVE., Burlington, VT 05401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel P. Moore Pa 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 05401 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 $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
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.

MRS. WHITNEY E. SMITH CNM
Advanced Practice Midwife
111 COLCHESTER AVE., UVM MEDICAL CENTER - WOMEN'S DEPT.
BURLINGTON, VT 05401
Chittenden County (802) 847-1400
DR. VALERIE J. RISS M.D.
Pediatrics
111 COLCHESTER AVE., C/O UVM MEDICAL CENTER, CHILDREN'S/PEDI-HOSPITALISTS
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
RALPH MORTON BOLMAN III MD
Surgery
111 COLCHESTER AVE., UVM MEDICAL CENTER - CT SURGERY
BURLINGTON, VT 05401
Chittenden County (802) 847-4044
DR. MAURA BARRY MD
Internal Medicine (Hematology & Oncology)
111 COLCHESTER AVE., FAHC
BURLINGTON, VT 05401
Chittenden County (802) 847-8400
DR. ELIZABETH DUNCAN ULANO MD
Pediatrics (Pediatric Critical Care Medicine)
111 COLCHESTER AVE., UVM MEDICAL CENTER, CHILDREN'S/PICU
BURLINGTON, VT 05401
Chittenden County (802) 847-2304
MR. MATTHEW PETER FAZIO AA
Anesthesiologist Assistant
111 COLCHESTER AVE., UVM MC - ANESTHESIOLOGY
BURLINGTON, VT 05401
Chittenden County (802) 847-2415
PATRICIA A. FINTAK M.D.
Psychiatry & Neurology (Psychiatry)
111 COLCHESTER AVE., UVM MEDICAL CENTER, DEPT. OF PSYCHIATRY
BURLINGTON, VT 05401
Chittenden County (802) 847-0552
DR. KARA J. SEXTON M.D.
Emergency Medicine
111 COLCHESTER AVE., UVM MEDICAL CENTER - SURGERY/EMERGENCY DEPT.
BURLINGTON, VT 05401
Chittenden County (802) 847-2434

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 Nathaniel Moore's NPI number?

The NPI number for Nathaniel Moore is 1124406178. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Nathaniel Moore located?

Nathaniel Moore practices at 111 Colchester Ave. Uvm Medical Center - Surgery/Emergency Dept., Burlington, VT 05401. The listed phone number is (802) 847-2434.

What is Nathaniel Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nathaniel Moore enrolled in Medicare?

Yes. Nathaniel Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathaniel Moore was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.