MRS. MISTY LYNNE MOORE FNPC
NPI 1265623078
Nurse Practitioner - Family in Dayton, OH

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
5563 FAR HILLS AVE, DAYTON, OH 45429(937) 231-2300(937) 291-2303 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2021, Apr 1, 2021, Dec 30, 2019 and 2 more (5 updates tracked since 2016).

About Mrs. Misty Lynne Moore Fnpc NPPES

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

MRS. MISTY LYNNE MOORE FNPC (NPI 1265623078) is an individual family provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.019820) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265623078
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MISTY LYNNE MOORECredential: FNPC
Location Address5563 FAR HILLS AVEDayton, OH 45429-2225
Mailing Address5563 Far Hills AveDayton, OH 45429-2225 · (937) 231-2300 · Fax (937) 291-2303
Fax(937) 291-2303
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 6, 2007
Last NPPES UpdateJanuary 16, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
NPI 1265623078 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 OH · APRN.CNP.019820
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-311363 (OH)
5563 FAR HILLS AVE, Dayton, OH 45429

Accepted Insurance

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

Mrs. Misty Lynne Moore Fnpc 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 ID749559045
PECOS Enrollment IDI20250806004296, I20260611003303
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 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Counselor (Addiction (Substance Use Disorder))
5563 FAR HILLS AVE
DAYTON, OH 45429
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Case Manager/Care Coordinator
5563 FAR HILLS AVE
DAYTON, OH 45429
Counselor (Addiction (Substance Use Disorder))
5563 FAR HILLS AVE
DAYTON, OH 45429
Case Management
5563 FAR HILLS AVE
DAYTON, OH 45429

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 Misty Moore's NPI number?

The NPI number for Misty Moore is 1265623078. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Misty Moore located?

Misty Moore practices at 5563 Far Hills Ave, Dayton, OH 45429. The listed phone number is (937) 231-2300.

What is Misty Moore's specialty?

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

Is Misty Moore enrolled in Medicare?

Yes. Misty 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.

What insurance does Misty Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Misty 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 Misty Moore was last updated on January 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.