MICHELLE GAYE MOORE APRN
NPI 1154278158
Nurse Practitioner - Family in London, KY

Q: What is Michelle Moore's NPI number?

The NPI number for Michelle Moore is 1154278158. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Q: What is Michelle 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 Michelle Moore was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 March 11, 2026PECOS Enrolled

1102 S MAIN ST, LONDON, KY 40741(606) 770-5121(606) 770-5199 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Michelle Gaye Moore Aprn NPPES

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

MICHELLE GAYE MOORE APRN (NPI 1154278158) is an individual family provider in London, Kentucky, licensed in Kentucky (4053554) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in London, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1154278158

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE GAYE MOORECredential: APRN

Location Address1102 S MAIN STLondon, KY 40741-1529

Mailing Address1102 S Main StLondon, KY 40741-1529 · (606) 770-5121 · Fax (606) 770-5199

Phone(606) 770-5121

Fax(606) 770-5199

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 11, 2026

NPPES CertifiedMarch 11, 2026

✔ NPI 1154278158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in KY · 4053554

1102 S MAIN ST, London, KY 40741

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Secondary Practice Location 1

Location 194 Dogpatch Trading Ctr Ste 2London, KY 40741-8292 · Phone (606) 770-5121 · Fax (606) 770-5199

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Gaye Moore Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800362781

PECOS Enrollment IDI20260417001766

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 40741 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 7

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

STEPHEN GEORGE SIGRIMIS

Nurse Practitioner (Family)