CAMILLE SUE MOORE FNP-BC
NPI 1174821730
Nurse Practitioner - Family in Brighton, CO
About Camille Sue Moore Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILLE SUE MOORE FNP-BC (NPI 1174821730) is an individual family provider in Brighton, Colorado, licensed in Colorado (APN.0990069-NP) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Camille Sue Moore Fnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Camille Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Supai, AZ 86435
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dhhs Ihs Phoenix Area
- 210 clinicians in this Medicare group
Gresham, OR 97030
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BRIGHTON, CO 80601
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 Camille Moore's NPI number?
The NPI number for Camille Moore is 1174821730. It was assigned to this individual provider in the NPPES registry on March 7, 2011.
Where is Camille Moore located?
Camille Moore practices at 859 S 4th Ave, Brighton, CO 80601. The listed phone number is (303) 338-4545.
What is Camille Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Camille Moore enrolled in Medicare?
Yes. Camille 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.
Which organizations bill Medicare for Camille Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Moore reassigns Medicare benefits to 2 organizations: Dhhs Ihs Phoenix (Supai, AZ) and Sapphire At Gresham Rehab, LLC (Gresham, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camille Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Camille Moore accept?
Health plans from Kaiser Permanente list Camille 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 Camille Moore was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Camille Sue Moore, FNP-BC · NPI 1174821730
Family physician in Brighton, Colorado. Individual provider, active in the CMS NPPES registry since March 7, 2011.
## Identity
- **NPI:** 1174821730 (Entity type: Individual)
- **Enumerated:** March 7, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.0990069-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 859 S 4TH AVE, Brighton, CO 80601
- **Phone:** (303) 338-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dhhs Ihs Phoenix (NPI 1184901829, Supai, AZ); Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1174821730) · Data from the CMS NPPES public registry.