Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEGAN JO MOORE
NPI 1326993528
Nurse Practitioner - Critical Care Medicine in Canton, OH

Q: What is Megan Moore's NPI number?

The NPI number for Megan Moore is 1326993528. It was assigned to this individual provider in the NPPES registry on March 3, 2026. The provider is also known as Megan Jo Nicodemus.

Q: What is Megan Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Megan Moore was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.

Active since March 03, 2026PECOS Enrolled

1320 MERCY DR NW, CANTON, OH 44708(330) 489-1000 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Megan Jo Moore NPPES

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

MEGAN JO MOORE (NPI 1326993528) is an individual critical care medicine provider in Canton, Ohio, licensed in Ohio (0042543) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326993528

Entity TypeIndividualFemale

Primary Taxonomy363LC0200X

Provider Legal NameMEGAN JO MOORE

Location Address1320 MERCY DR NWCanton, OH 44708-2614

Mailing Address741 E Tuscarawas AveBarberton, OH 44203-3719

Phone(330) 489-1000

Sole ProprietorNo

Enumeration DateMarch 3, 2026

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1326993528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in OH · 0042543

1320 MERCY DR NW, Canton, OH 44708

Open in Google Maps ↗

Other Names 1

Former Name (1)Megan Jo Nicodemus

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 44708 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

AMANDA G GILLIS CRNA

Nurse Anesthetist, Certified Registered