MR. CLIFFORD ANDREW MOORE NP
NPI 1497389811
Nurse Practitioner - Acute Care in Clackamas, OR

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(210) 269-9289 Get Directions Write a Review

NPPES record last updated: March 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2022, Feb 2, 2022, Feb 25, 2020 (3 updates tracked since 2020).

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

NPI1497389811
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. CLIFFORD ANDREW MOORECredential: NP
Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address10180 Se Sunnyside RdClackamas, OR 97015-8970 · (210) 269-9289
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 25, 2020
Last NPPES UpdateMarch 13, 20223 updates tracked since enumeration
NPPES CertifiedMarch 13, 2022
NPI 1497389811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in WA · AP61256697 Licensed in OR · 202200913NP-PP
10180 SE SUNNYSIDE RD, Clackamas, OR 97015

Secondary Practice Location 1

Location 1200 NE Mother Joseph Pl Ste 330Vancouver, WA 98664-3288 · Phone (360) 514-2990 · Fax (360) 514-3508

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

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.

PECOS PAC ID7113398561
PECOS Enrollment IDI20230120002591
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.

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

Physician 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.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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.

Internal Medicine
10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015
Emergency Medicine
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015
Anesthesiology
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Radiology (Diagnostic Radiology)
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Psychiatry & Neurology (Neurology)
10180 SE SUNNYSIDE RD, DEPT OF NEUROLOGY, CLINIC C
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.

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.