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SAMANTHA MOORE
NPI 1295626406
Nurse Practitioner - Gerontology in Oak Park, IL

Active since July 14, 2025PECOS EnrolledAccepts Medicare Assignment
101 MADISON ST, OAK PARK, IL 60302(708) 486-2700 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1295626406
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSAMANTHA MOORE
Location Address101 MADISON STOak Park, IL 60302-4278
Mailing Address1655 Highland BlvdHoffman Estates, IL 60169
Phone(708) 486-2700
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2024
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1295626406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209-032478
101 MADISON ST, Oak Park, IL 60302
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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

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.

PECOS PAC ID1254848633
PECOS Enrollment IDI20250730000768
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 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.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 15

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

MS. DONNA ENGLISH LCPC
Counselor (Professional)
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 859-8004
BILAL ZAKRIA M.D.
Hospitalist
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 486-2700
STEPHANIE ELIZABETH BARTKOWIAK LCPC
Counselor (Mental Health)
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 859-8004
DONNA COTTON, PSYD, LLC
Community/Behavioral Health
101 MADISON ST, #401
OAK PARK, IL 60302
Cook County (708) 386-1253
YOLANDA K BRADFORD FNP-C
Nurse Practitioner
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 486-2700
HILDIE B ERICKSEN LCPC
Counselor (Professional)
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 859-8004
DR. PAMELA JEAN REYNOLDS D.D.S.
Dentist (General Practice)
101 MADISON ST, SUITE 301
OAK PARK, IL 60302
Cook County (708) 383-0500
DR. NATALIE A LAYNE D.D.S
Dentist (General Practice)
101 MADISON ST, STE 301
OAK PARK, IL 60302
Cook County (630) 638-4185

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.

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 12 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.