MS. SHAUNTE MOORE CPNP-PC
NPI 1558898510
Nurse Practitioner - Pediatrics in O Fallon, IL

Active since May 20, 2017
604 PIERCE BLVD, O FALLON, IL 62269(618) 222-9244 Get Directions Write a Review

NPPES record last updated: May 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shaunte Moore Cpnp-pc NPPES

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

MS. SHAUNTE MOORE CPNP-PC (NPI 1558898510) is an individual pediatrics provider in O Fallon, Illinois, licensed in Illinois (209015873) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1558898510
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. SHAUNTE MOORECredential: CPNP-PC
Location Address604 PIERCE BLVDO Fallon, IL 62269-2588
Mailing Address132 Ridge DrMaryville, IL 62062-5681 · (618) 407-0552
Sole ProprietorNo
Enumeration DateMay 20, 2017
NPI 1558898510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in IL · 209015873 Licensed in MO · 2017000683
604 PIERCE BLVD, O Fallon, IL 62269

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
604 PIERCE BLVD
O FALLON, IL 62269

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 Shaunte Moore's NPI number?

The NPI number for Shaunte Moore is 1558898510. It was assigned to this individual provider in the NPPES registry on May 20, 2017.

Where is Shaunte Moore located?

Shaunte Moore practices at 604 Pierce Blvd, O Fallon, IL 62269. The listed phone number is (618) 222-9244.

What is Shaunte Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Shaunte Moore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Shaunte 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.

When was this NPI record last updated?

The NPPES record for Shaunte Moore was last updated on May 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.