ROBERTA MOORE FNP-C
NPI 1275992646
Nurse Practitioner - Family in Us Air Force, CO
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
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roberta Moore Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Roberta Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Douglas, AZ 85607
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Bisbee Hospital Association
- 128 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 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.
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.
USAF ACADEMY, CO 80840
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.
Which organization bills Medicare for Roberta Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Moore reassigns Medicare benefits to Copper Queen Medical Associates Douglas (Douglas, AZ). 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 Roberta 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 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 16 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.
# Roberta Moore, FNP-C · NPI 1275992646
Family physician in Us Air Force, Colorado. Individual provider, active in the CMS NPPES registry since February 15, 2016.
## Identity
- **NPI:** 1275992646 (Entity type: Individual)
- **Enumerated:** February 15, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP9606 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4102 PINION DR, Us Air Force, CO 80840-2502
- **Phone:** (719) 333-5260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Copper Queen Medical Associates Douglas (NPI 1942217088, Douglas, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275992646) · Data from the CMS NPPES public registry.