1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Nurse Practitioner
  6. NPI Profile

NICOLE M MOORE APN
NPI 1295188803
Nurse Practitioner - Family in Rockford, IL

Active since July 19, 2016PECOS EnrolledAccepts Medicare Assignment
3401 N PERRYVILLE RD, ROCKFORD, IL 61114(815) 971-2000(815) 971-9570 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole M Moore Apn NPPES

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

NICOLE M MOORE APN (NPI 1295188803) is an individual family provider in Rockford, Illinois, licensed in Illinois (209-014814) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295188803
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE M MOORECredential: APN
Location Address3401 N PERRYVILLE RDRockford, IL 61114-8011
Mailing Address3401 N Perryville RdRockford, IL 61114-8011 · (815) 971-2000
Phone(815) 971-2000
Fax(815) 971-9570
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 19, 2016
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1295188803 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 IL · 209-014814
Also ListedRegistered NurseTaxonomy 163W00000X · License 041390820 (IL)
3401 N PERRYVILLE RD, Rockford, IL 61114
Open in Google Maps ↗

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

Nicole M Moore Apn 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 ID547557480
PECOS Enrollment IDI20160921001166
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

TRACY LARKINS MUHAMMAD MD
Hospitalist
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
DR. RAJU M SHANMUGAM MD
Family Medicine
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
MICHELLE LEE CLEVELAND NP
Nurse Practitioner (Adult Health)
3401 N PERRYVILLE RD, SUITE 303
ROCKFORD, IL 61114
Winnebago County (815) 971-1060
LISA A ANGEL PT
Physical Therapist
3401 N PERRYVILLE RD, PHYSICAL THERAPY DEPT
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
ADAM SOLIMAN MD
Otolaryngology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
LUCY MARTIN
Nurse Practitioner
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
TRACY C BRITO M.D.
Phlebology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
PHILLIP A. HIGGINS MD
Obstetrics & Gynecology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000

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 Nicole Moore's NPI number?

The NPI number for Nicole Moore is 1295188803. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Nicole Moore located?

Nicole Moore practices at 3401 N Perryville Rd, Rockford, IL 61114. The listed phone number is (815) 971-2000.

What is Nicole Moore's specialty?

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

Is Nicole Moore enrolled in Medicare?

Yes. Nicole 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.

Is Nicole Moore affiliated with any hospitals?

According to CMS data, Nicole Moore is affiliated with Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Moore was last updated on March 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.