SUSAN JOHN MOORE F.N.P.
NPI 1134400864
Nurse Practitioner - Family in Kokomo, IN

Q: What is Susan Moore's NPI number?

The NPI number for Susan Moore is 1134400864. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Q: What is Susan Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Moore was last updated on January 24, 2023. 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.

Active since September 08, 2011

3118 SOUTH LAFOUNTAIN, INDIANA HEALTH CENTER - KOKOMO, KOKOMO, IN 46902(765) 864-4160(765) 864-4166 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Susan John Moore F.n.p. NPPES

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

SUSAN JOHN MOORE F.N.P. (NPI 1134400864) is an individual family provider in Kokomo, Indiana, licensed in Indiana (71003756A) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1134400864

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN JOHN MOORECredential: F.N.P.

Location Address3118 SOUTH LAFOUNTAIN, INDIANA HEALTH CENTER - KOKOMOKokomo, IN 46902-3710

Mailing Address8003 Castleway DrIndianapolis, IN 46250-1946 · (317) 576-1335 · Fax (317) 343-6562

Phone(765) 864-4160

Fax(765) 864-4166

Sole ProprietorNo

Enumeration DateSeptember 8, 2011

Last NPPES UpdateJanuary 24, 2023

NPPES CertifiedJanuary 24, 2023

✔ NPI 1134400864 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

License✔ Licensed in IN · 71003756A

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 71003756A (IN)

3118 SOUTH LAFOUNTAIN, Kokomo, IN 46902

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Other Identifiers 1

Medicaid100071250AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Susan Moore's NPI number?

The NPI number for Susan Moore is 1134400864. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Susan Moore located?

Susan Moore practices at 3118 South Lafountain Indiana Health Center - Kokomo, Kokomo, IN 46902. The listed phone number is (765) 864-4160.

What is Susan Moore's specialty?

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

What insurance does Susan Moore accept?

Health plans from CareSource list Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Moore was last updated on January 24, 2023. 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.