MOORE WELLNESS
NPI 1649979329
Nurse Practitioner in Spokane, WA

Active since March 01, 2023
2121 E 62ND AVE, SPOKANE, WA 99223(509) 903-8766(509) 931-0491 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2026, Dec 12, 2025, Dec 4, 2025 and 1 more (4 updates tracked since 2023).

About Moore Wellness NPPES

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

MOORE WELLNESS (NPI 1649979329) is a healthcare organization registered as a nurse practitioner in Spokane, Washington and active in the NPI registry since March 2023. The organization lists Colleen Marie-kieser Moore, Ao, as its authorized official.

NPPES Registry Identity

NPI1649979329
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMOORE WELLNESS
Location Address2121 E 62ND AVESpokane, WA 99223-6806
Mailing AddressPo Box 30001Spokane, WA 99223-3000 · (509) 903-8766 · Fax (509) 931-0491
Fax(509) 931-0491
Organization SubpartNo
Authorized OfficialColleen Marie-kieser MooreAo · (509) 903-8766
Enumeration DateMarch 1, 2023
Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1649979329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
2121 E 62ND AVE, Spokane, WA 99223

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moore Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1720569593
PO BOX 30001
Spokane, WA 99223
(509) 903-8766
✔ PECOS✔ Accepts Medicare5.2 mi

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

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 Moore Wellness's NPI number?

The NPI number for Moore Wellness is 1649979329. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Moore Wellness located?

Moore Wellness is located at 2121 E 62nd Ave, Spokane, WA 99223. The listed phone number is (509) 903-8766.

What is Moore Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Moore Wellness enrolled in Medicare?

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

How many clinicians bill Medicare through Moore Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Moore Wellness. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Moore Wellness was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.