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JESSE KINCAID MOORE
NPI 1649750613
Speech-Language Pathologist in Gig Harbor, WA

Active since August 18, 2018
4340 BORGEN BLVD, GIG HARBOR, WA 98332(253) 313-0704 Get Directions Write a Review

NPPES record last updated: August 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jesse Kincaid Moore NPPES

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

JESSE KINCAID MOORE (NPI 1649750613) is an individual speech-language pathologist provider in Gig Harbor, Washington and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1649750613
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJESSE KINCAID MOORE
Location Address4340 BORGEN BLVDGig Harbor, WA 98332-7000
Mailing Address4340 Borgen BlvdGig Harbor, WA 98332-7000
Phone(253) 313-0704
Sole ProprietorNo
Enumeration DateAugust 18, 2018
✔ NPI 1649750613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4340 BORGEN BLVD, Gig Harbor, WA 98332
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Kincaid Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jesse Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Affiliate Group Of New York PC
2,422 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

HERON'S KEY
Skilled Nursing Facility
4340 BORGEN BLVD
GIG HARBOR, WA 98332
Pierce County (253) 313-0800
CAMILLE NICOLLE ESTABILLO
Speech-Language Pathologist
4340 BORGEN BLVD
GIG HARBOR, WA 98332
Pierce County (253) 313-0749
JOHANNA MARIE SAWYER
Physical Therapy Assistant
4340 BORGEN BLVD
GIG HARBOR, WA 98332
Pierce County (253) 313-0800
MICHELLE LYNN LEARNED COTA/L
Occupational Therapy Assistant
4340 BORGEN BLVD
GIG HARBOR, WA 98332
Pierce County (235) 313-0800
CASSANDRA LEIGH ST. MARTIN LMT, DPT
Physical Therapist
4340 BORGEN BLVD
GIG HARBOR, WA 98332
Pierce County (253) 722-7747

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 Jesse Moore's NPI number?

The NPI number for Jesse Moore is 1649750613. It was assigned to this individual provider in the NPPES registry on August 18, 2018.

Where is Jesse Moore located?

Jesse Moore practices at 4340 Borgen Blvd, Gig Harbor, WA 98332. The listed phone number is (253) 313-0704.

What is Jesse Moore's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jesse Moore enrolled in Medicare?

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

Which organization bills Medicare for Jesse Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Moore reassigns Medicare benefits to Physician Affiliate Group Of New York PC (New York, NY). 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 Jesse Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jesse Moore was last updated on August 18, 2018. 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.