BROOKE MOORE
NPI 1316570815
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since February 13, 2020PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 344-9944 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brooke Moore NPPES

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

BROOKE MOORE (NPI 1316570815) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2021).

NPPES Registry Identity

NPI1316570815
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBROOKE MOORE
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2021
Enumeration DateFebruary 13, 2020
✔ NPI 1316570815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 LAKE AVE N, Worcester, MA 01655

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274099791
PECOS Enrollment IDI20260724004418
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brooke Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
55 FOGG RD
Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 671 clinicians in this Medicare group
Internal Medicine
143 LONGWATER DRIVE
Norwell, MA 02061
  • Reassigned Medicare billing, Massachusetts enrollment
  • 346 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.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

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 Brooke Moore's NPI number?

The NPI number for Brooke Moore is 1316570815. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Brooke Moore located?

Brooke Moore practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 344-9944.

What is Brooke Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brooke Moore enrolled in Medicare?

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

Which organizations bill Medicare for Brooke Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Moore reassigns Medicare benefits to 2 organizations: Coastal Medical Associates (Weymouth, MA) and South Shore Medical Center, Inc. (Norwell, MA). Each 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 Brooke Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Moore accept?

Health plans from Anthem Blue Cross and Blue Shield list Brooke 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 Brooke Moore was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.