SAMANTHA MOORE
NPI 1295626406
Nurse Practitioner - Gerontology in Oak Park, IL
About Samantha Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MOORE (NPI 1295626406) is an individual gerontology provider in Oak Park, Illinois, licensed in Illinois (209-032478) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Samantha Moore 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Park, IL 60302
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Cimpar Sc
- 70 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 60302 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAK PARK, IL 60302
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 Samantha Moore's NPI number?
The NPI number for Samantha Moore is 1295626406. It was assigned to this individual provider in the NPPES registry on July 14, 2025.
Where is Samantha Moore located?
Samantha Moore practices at 101 Madison St, Oak Park, IL 60302. The listed phone number is (708) 486-2700.
What is Samantha Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Samantha Moore enrolled in Medicare?
Yes. Samantha 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 Samantha Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Moore reassigns Medicare benefits to Cimpar, S.C. (Oak Park, IL). 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 Samantha Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Moore accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Samantha 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 Samantha Moore was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Samantha Moore · NPI 1295626406
Gerontology physician in Oak Park, Illinois. Individual provider, active in the CMS NPPES registry since July 14, 2025.
## Identity
- **NPI:** 1295626406 (Entity type: Individual)
- **Enumerated:** July 14, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 209-032478 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 MADISON ST, Oak Park, IL 60302-4278
- **Phone:** (708) 486-2700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cimpar, S.C. (NPI 1467496224, Oak Park, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2024
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295626406) · Data from the CMS NPPES public registry.