MR. CLIFFORD ANDREW MOORE NP
NPI 1497389811
Nurse Practitioner - Acute Care in Clackamas, OR
About Mr. Clifford Andrew Moore Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLIFFORD ANDREW MOORE NP (NPI 1497389811) is an individual acute care provider in Clackamas, Oregon, licensed in Washington (AP61256697) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and maintains a secondary practice location in Vancouver.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Clifford Andrew Moore Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Clifford Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Sunnyside Medical Center
Acute Care Hospitals · Clackamas, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Clifford Moore's NPI number?
The NPI number for Clifford Moore is 1497389811. It was assigned to this individual provider in the NPPES registry on February 25, 2020.
Where is Clifford Moore located?
Clifford Moore practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (210) 269-9289.
What is Clifford Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Clifford Moore enrolled in Medicare?
Yes. Clifford Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Clifford Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifford Moore reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clifford Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clifford Moore accept?
Health plans from Kaiser Permanente list Clifford Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Clifford Moore affiliated with any hospitals?
According to CMS data, Clifford Moore is affiliated with Kaiser Sunnyside Medical Center.
When was this NPI record last updated?
The NPPES record for Clifford Moore was last updated on March 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Clifford Andrew Moore, NP · NPI 1497389811
Acute Care physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since February 25, 2020.
## Identity
- **NPI:** 1497389811 (Entity type: Individual)
- **Enumerated:** February 25, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** AP61256697 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10180 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (210) 269-9289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497389811) · Data from the CMS NPPES public registry.