JEFFREY MOORE RN
NPI 1205415205
Registered Nurse - General Practice in Pahrump, NV

Q: What is Jeffrey Moore's NPI number?

The NPI number for Jeffrey Moore is 1205415205. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Jeffrey Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Moore was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 06, 2021PECOS EnrolledAccepts Medicare Assignment

1470 E CALVADA BLVD, PAHRUMP, NV 89048(775) 210-8333 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jeffrey Moore Rn NPPES

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

JEFFREY MOORE RN (NPI 1205415205) is an individual general practice provider in Pahrump, Nevada, licensed in Nevada (RN96780) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205415205

Entity TypeIndividualMale

Primary Taxonomy163WG0000X

Provider Legal NameJEFFREY MOORECredential: RN

Location Address1470 E CALVADA BLVDPahrump, NV 89048-3905

Mailing Address1470 E Calvada Blvd Ste 100Pahrump, NV 89048-3906

Phone(775) 210-8333

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 6, 2021

NPPES CertifiedApril 6, 2021

✔ NPI 1205415205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers

Taxonomy Code163WG0000X

License✔ Licensed in NV · RN96780

1470 E CALVADA BLVD, Pahrump, NV 89048

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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

Jeffrey Moore Rn 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 ID7810367430

PECOS Enrollment IDI20221222002379

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eds-I Homansky Practices Of Nevada PC

2.6 mi

Nurse Practitioner

360 S LOLA LN
Pahrump, NV 89048

Reassigned Medicare billing, Nevada enrollment
13 clinicians in this Medicare group

NPI 1720540628 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

227 services204 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

56 services55 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

41 services40 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

13 services13 patients

Other Providers at the Same Location NPPES 9

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

MR. STEVEN BRIAN WORTMAN CST

1470 E CALVADA BLVD, 300
PAHRUMP, NV 89048

Nye County (775) 727-1555

MICHAEL D. REINER, MD, PC

Clinic/Center (Primary Care)

1470 E CALVADA BLVD, SUITE 100
PAHRUMP, NV 89048

Nye County (702) 751-6111

SHAUNA J MULLENIX PT

Physical Therapist

1470 E CALVADA BLVD, SUITE 100
PAHRUMP, NV 89048

Nye County (775) 537-2300

SEAN PATRICK RYAN ASRT

Respiratory Therapist, Certified

1470 E CALVADA BLVD, STE. 100
PAHRUMP, NV 89048

Nye County (775) 537-2300

PARAGON HEALTHCARE OF PAHRUMP, LLC.

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))

1470 E CALVADA BLVD, 100
PAHRUMP, NV 89048

Nye County (702) 914-2790

ADVANCED CHIROPRACTIC

Chiropractor

1470 E CALVADA BLVD, SUITE 300
PAHRUMP, NV 89048

Nye County (775) 727-1188

FRANK TOPPO MD INC

General Practice

1470 E CALVADA BLVD, SUITE 300
PAHRUMP, NV 89048

Nye County (775) 727-1188

PILAR FERNANDEZ D.C.

Chiropractor

1470 E CALVADA BLVD, SUITE 300
PAHRUMP, NV 89048

Nye County (775) 727-1188

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 Jeffrey Moore's NPI number?

The NPI number for Jeffrey Moore is 1205415205. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Jeffrey Moore located?

Jeffrey Moore practices at 1470 E Calvada Blvd, Pahrump, NV 89048. The listed phone number is (775) 210-8333.

What is Jeffrey Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

Is Jeffrey Moore enrolled in Medicare?

Yes. Jeffrey 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 organization bills Medicare for Jeffrey Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Moore reassigns Medicare benefits to Eds-I Homansky Practices Of Nevada PC (Pahrump, NV). The 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 Jeffrey Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Moore was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.