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JONATHAN MOORE
NPI 1447764907
Nurse Practitioner - Family in Clarksburg, WV

Active since November 20, 2017PECOS Enrolled
1 MEDICAL CTR. DRIVE, CLARKSBURG, WV 26301(304) 623-3461 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Moore NPPES

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

JONATHAN MOORE (NPI 1447764907) is an individual family provider in Clarksburg, West Virginia, licensed in West Virginia (APRN76344-FNP-BC) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447764907
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJONATHAN MOORE
Location Address1 MEDICAL CTR. DRIVEClarksburg, WV 26301
Mailing Address328 New StBridgeport, WV 26330-1417 · (304) 918-4818
Phone(304) 623-3461
Sole ProprietorNo
Enumeration DateNovember 20, 2017
✔ NPI 1447764907 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
License✔ Licensed in WV · APRN76344-FNP-BC
1 MEDICAL CTR. DRIVE, Clarksburg, WV 26301
Open in Google Maps ↗

Other Identifiers 1

OtherAPRN76344-FNP-BCWA · Wv Fnp-bc License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan 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 26301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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 Jonathan Moore's NPI number?

The NPI number for Jonathan Moore is 1447764907. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Where is Jonathan Moore located?

Jonathan Moore practices at 1 Medical Ctr. Drive, Clarksburg, WV 26301. The listed phone number is (304) 623-3461.

What is Jonathan Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jonathan Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathan Moore was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.