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KRISTEN L. MOORE PA
NPI 1376609057
Physician Assistant - Medical in Farmington, CT

Active since December 28, 2006PECOS Enrolled
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-2948, FARMINGTON, CT 06030(860) 679-4064 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen L. Moore Pa NPPES

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

KRISTEN L. MOORE PA (NPI 1376609057) is an individual medical provider in Farmington, Connecticut, licensed in Connecticut (001138) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1376609057
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTEN L. MOORECredential: PA
Location AddressJOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-2948Farmington, CT 06030-0001
Mailing AddressJohn Dempsey Hospital, 263 Farmington Avenue, Mc-2948Farmington, CT 06030-0001 · (860) 679-4064
Phone(860) 679-4064
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1376609057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 001138
Also ListedPhysician AssistantTaxonomy 363A00000X · License 001138 (CT)
JOHN DEMPSEY HOSPITAL, Farmington, CT 06030
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Secondary Practice Location 1

Location 1263 Farmington AveFarmington, CT 06030-0001 · Phone (860) 679-2397 · Fax (860) 679-1796

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen L. Moore Pa 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.

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.

JOHN R. AGAR DDS
Dentist (Prosthodontics)
JOHN DEMPSEY HOSPITAL, 263 FARMINTON AVENUE, MC-1615
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2649
DR. THOMAS JOSEPH REGAN MD
Emergency Medicine
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-1930
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3504
DAVID DONOFRIO CCP
Specialist/Technologist, Other
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-2023
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4877
EDWARD L. LAWSON CRNA
Nurse Anesthetist, Certified Registered
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-2015
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3516
BARBARA BARON APRN
Nurse Practitioner (Acute Care)
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-2200
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3107
MARJA M. HURLEY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-3920
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3484
BIJAY MUKHOPADHYAY MD
Internal Medicine (Medical Oncology)
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-3210
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4236
SHARON P. KELLY APRN
Nurse Practitioner (Neonatal)
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-2203
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2397

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 Kristen Moore's NPI number?

The NPI number for Kristen Moore is 1376609057. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Kristen Moore located?

Kristen Moore practices at John Dempsey Hospital 263 Farmington Avenue, Mc-2948, Farmington, CT 06030. The listed phone number is (860) 679-4064.

What is Kristen Moore's specialty?

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

Is Kristen Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristen Moore was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.