ANGELICA MOORE FNP-C
NPI 1164157665
Nurse Practitioner - Family in Chicago, IL

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Jul 19, 2022 (2 updates tracked since 2022).

About Angelica Moore Fnp-c NPPES

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

ANGELICA MOORE FNP-C (NPI 1164157665) is an individual family provider in Chicago, Illinois, licensed in Illinois (209025067) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164157665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELICA MOORECredential: FNP-C
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1969 W Ogden AveChicago, IL 60612-3765 · (312) 864-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 19, 2022
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1164157665 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 IL · 209025067
1969 W OGDEN AVE, Chicago, IL 60612

Other Names 1

Professional Name (2)Angelica Moore Fnp-c

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

Angelica Moore Fnp-c 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 ID7517342926
PECOS Enrollment IDI20220921003209
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

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612

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 Angelica Moore's NPI number?

The NPI number for Angelica Moore is 1164157665. It was assigned to this individual provider in the NPPES registry on July 19, 2022. The provider is also known as Angelica Moore Fnp-C.

Where is Angelica Moore located?

Angelica Moore practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Angelica Moore's specialty?

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

Is Angelica Moore enrolled in Medicare?

Yes. Angelica 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.

Is Angelica Moore affiliated with any hospitals?

According to CMS data, Angelica Moore is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Angelica Moore was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.