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ROBERTA MOORE FNP-C
NPI 1275992646
Nurse Practitioner - Family in Us Air Force, CO

Active since February 15, 2016PECOS Enrolled
4102 PINION DR, US AIR FORCE, CO 80840(719) 333-5260 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Jan 6, 2017, Feb 15, 2016 (3 updates tracked since 2016).

About Roberta Moore Fnp-c NPPES

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

ROBERTA MOORE FNP-C (NPI 1275992646) is an individual family provider in Us Air Force, Colorado, licensed in Arizona (AP9606) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275992646
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROBERTA MOORECredential: FNP-C
Location Address4102 PINION DRUs Air Force, CO 80840-2502
Mailing Address4102 Pinion DrUs Air Force, CO 80840-2502 · (719) 333-5260
Phone(719) 333-5260
Sole ProprietorNo
Enumeration DateFebruary 15, 2016
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1275992646 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 AZ · AP9606
Also ListedRegistered NurseTaxonomy 163W00000X · License 123231 (AZ)
4102 PINION DR, Us Air Force, CO 80840
Open in Google Maps ↗

Other Names 1

Other Name (5)Bobbie 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 (PECOS)

Roberta Moore Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 80840 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

KAREN KEEN HARMON LCSW
Social Worker (Clinical)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5177
DR. JEANETTE MASON BACHMANN M.D.
Pediatrics
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5111
REBECCA VAN WINKLE RN
Registered Nurse
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 440-7339
LESLIE SUE MATTORANO PHARMD
Pharmacist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-6337
KAY LYN NESS DDS
Dentist (Periodontics)
4102 PINION DR
U S A F ACADEMY, CO 80840
El Paso County (719) 333-5180
ROBERT LLOYD ELWOOD M.D.
Pediatrics (Pediatric Infectious Diseases)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5975
DR. EVAN MATTHEW JONES M.D.
Orthopaedic Surgery (Hand Surgery)
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5081
STACY KESER
Physical Therapist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-3107

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 Roberta Moore's NPI number?

The NPI number for Roberta Moore is 1275992646. It was assigned to this individual provider in the NPPES registry on February 15, 2016. The provider is also known as Bobbie Moore Fnp-C.

Where is Roberta Moore located?

Roberta Moore practices at 4102 Pinion Dr, Us Air Force, CO 80840. The listed phone number is (719) 333-5260.

What is Roberta Moore's specialty?

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

Is Roberta Moore enrolled in Medicare?

Yes. Roberta Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roberta Moore was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.