JOHN TYSON MOORE APRN, FNP-C
NPI 1437529633
Nurse Practitioner - Family in Kansas City, MO

Active since September 30, 2015PECOS EnrolledAccepts Medicare Assignment
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Tyson Moore Aprn, Fnp-c NPPES

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

JOHN TYSON MOORE APRN, FNP-C (NPI 1437529633) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2015034744) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with The Children's Mercy Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2015).

NPPES Registry Identity

NPI1437529633
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN TYSON MOORECredential: APRN, FNP-C
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 234-3000
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015
Enumeration DateSeptember 30, 2015
Last NPPES UpdateNovember 6, 2015
NPI 1437529633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MO · 2015034744 Licensed in KS · 77024
2401 GILLHAM RD, Kansas City, MO 64108

Accepted 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

John Tyson Moore Aprn, Fnp-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 ID5092025734
PECOS Enrollment IDI20151109000988, I20151221000214
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Children's Mercy Hospital

Childrens · Kansas City, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number263302
Location2401 Gillham RoadKansas City, MO 64108 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier14 claims5,040 services$1.17 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier61 claims9,069 services$0.20 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers36 claims3,898 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers65 claims5,307 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers53 claims53 services$16.69 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers128 claims128 services$11.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics (Pediatric Gastroenterology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Nurse Practitioner (Pediatrics)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Orthopaedic Surgery
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD, DEPARTMENT OF PEDIATRICS
KANSAS CITY, MO 64108
Pediatrics (Pediatric Infectious Diseases)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Neonatal-Perinatal Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Genetic Counselor, MS
2401 GILLHAM RD
KANSAS CITY, MO 64108
Genetic Counselor, MS
2401 GILLHAM RD, CHILDREN'S MERCY HOSPITALS AND CLINICS
KANSAS CITY, MO 64108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437529633, enumerated as an "individual" on September 30, 2015.

The provider is located at 2401 GILLHAM RD KANSAS CITY, MO 64108 and the phone number is (816) 234-3000.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Blue. Please consult your insurance carrier or call the provider to verify.

John Moore is affiliated with: THE CHILDREN'S MERCY HOSPITAL.