MS. KENDRA MOORE PA-C
NPI 1346690583
Physician Assistant - Medical in Passaic, NJ

Q: What is Kendra Moore's NPI number?

The NPI number for Kendra Moore is 1346690583. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Q: What is Kendra Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Moore was last updated on June 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 19, 2016PECOS EnrolledAccepts Medicare Assignment

84.01/100

CMS Quality Rating

350 BOULEVARD, PASSAIC, NJ 07055(973) 365-4300 Get Directions Write a Review

NPPES record last updated: June 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Kendra Moore Pa-c NPPES

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

MS. KENDRA MOORE PA-C (NPI 1346690583) is an individual medical provider in Passaic, New Jersey, licensed in New Jersey (25MP00398900) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1346690583

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. KENDRA MOORECredential: PA-C

Location Address350 BOULEVARDPassaic, NJ 07055-2840

Mailing Address9 Vose Ave, Apartment 215South Orange, NJ 07079-2007 · (973) 508-5298

Phone(973) 365-4300

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 19, 2016

✔ NPI 1346690583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NJ · 25MP00398900

350 BOULEVARD, Passaic, NJ 07055

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Ms. Kendra Moore Pa-c 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 ID8224322789

PECOS Enrollment IDI20160805000329, I20260310001734

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 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

73 services56 patients

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.

21 services14 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

18 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.67

Promoting Interoperability

Improvement Activities

Cost

76.48

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.

ASHWIN NELLIPARAMBIL JITHEESH

Student in an Organized Health Care Education/Training Program

350 BOULEVARD, ST. MARY'S HOSPITAL MEMORIAL BUILDING, ROOM 416
PASSAIC, NJ 07055

Passaic County (404) 503-3936

BAY RADIATION ONCOLOGY,P.L.L.C

Radiology (Therapeutic Radiology)