JOHN WAYNE MOORE PA-C
NPI 1669552550
Physician Assistant - Medical in Wasilla, AK

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
1001 E BOGARD RD, WASILLA, AK 99654(907) 373-2225(907) 376-9225 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2024, Jun 17, 2024 (2 updates tracked since 2024).

About John Wayne Moore Pa-c NPPES

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

JOHN WAYNE MOORE PA-C (NPI 1669552550) is an individual medical provider in Wasilla, Alaska, licensed in Alaska (508) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1669552550
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN WAYNE MOORECredential: PA-C
Location Address1001 E BOGARD RDWasilla, AK 99654-7114
Mailing Address1001 E Bogard RdWasilla, AK 99654-7114 · (907) 373-2225 · Fax (907) 376-9225
Fax(907) 376-9225
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1669552550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AK · 508
1001 E BOGARD RD, Wasilla, AK 99654

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

John Wayne 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 ID8325949951
PECOS Enrollment IDI20040518000573
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services20 patients

Other Providers at the Same Location NPPES 19

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

Chiropractor
1001 E BOGARD RD
WASILLA, AK 99654
Family Medicine
1001 E BOGARD RD
WASILLA, AK 99654
Physical Therapist
1001 E BOGARD RD
WASILLA, AK 99654
Specialist/Technologist (Athletic Trainer)
1001 E BOGARD RD
WASILLA, AK 99654
Nurse Practitioner
1001 E BOGARD RD
WASILLA, AK 99654
Physical Therapist
1001 E BOGARD RD
WASILLA, AK 99654
Nurse Practitioner (Primary Care)
1001 E BOGARD RD
WASILLA, AK 99654
Chiropractor (Sports Physician)
1001 E BOGARD RD
WASILLA, AK 99654

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 John Moore's NPI number?

The NPI number for John Moore is 1669552550. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is John Moore located?

John Moore practices at 1001 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 373-2225.

What is John Moore's specialty?

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

Is John Moore enrolled in Medicare?

Yes. John 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 John Moore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list John 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 John Moore was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.