SETH MOORE PA-C - NPI 1609764729 - Physician Assistant in Marion, IN

Q: What is Seth Moore's NPI number?

The NPI number for Seth Moore is 1609764729. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Q: What is Seth Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Seth Moore was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Seth Moore Pa-c NPPES

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

SETH MOORE PA-C (NPI 1609764729) is an individual medical provider in Marion, Indiana, licensed in Indiana (10005011A) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains a secondary practice location in Pendleton.

NPPES Registry Identity

NPI1609764729

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSETH MOORECredential: PA-C

Location Address330 N WABASH AVE STE 110Marion, IN 46952-2677

Mailing Address6308 Woodchuck DrPendleton, IN 46064-9076

Phone(765) 664-1201

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 26, 2025

Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1609764729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IN · 10005011A

Also ListedPhysician AssistantTaxonomy 363A00000X

330 N WABASH AVE STE 110, Marion, IN 46952

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Secondary Practice Location 1

Location 16308 Woodchuck DrPendleton, IN 46064-9076 · Phone (765) 617-8665

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

Seth Moore Pa-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 ID8527564129

PECOS Enrollment IDI20251002001878

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.

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

MRS. CHRISTINA ROBLES NP

Nurse Practitioner