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HALEY MOORE PA-C
NPI 1720701576
Physician Assistant in Anna, IL

Active since September 26, 2022PECOS EnrolledAccepts Medicare Assignment
513 N MAIN ST, ANNA, IL 62906(618) 833-4471(618) 833-6267 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Jun 23, 2023, Sep 26, 2022 (3 updates tracked since 2022).

About Haley Moore Pa-c NPPES

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

HALEY MOORE PA-C (NPI 1720701576) is an individual physician assistant in Anna, Illinois, licensed in Illinois (085009259) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720701576
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY MOORECredential: PA-C
Location Address513 N MAIN STAnna, IL 62906-1697
Mailing Address513 N Main StAnna, IL 62906-1697 · (618) 833-4471 · Fax (618) 833-6267
Phone(618) 833-4471
Fax(618) 833-6267
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2022
Enumeration DateSeptember 26, 2022
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1720701576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085009259
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
513 N MAIN ST, Anna, IL 62906
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Secondary Practice Locations 2

Location 113245 Kessler RdCairo, IL 62914-3101 · Phone (618) 734-4400 · Fax (618) 477-8557
Location 21340 Cedar CtCarbondale, IL 62901-5336 · Phone (618) 457-7821 · Fax (618) 529-3862

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

Haley 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 ID7416314828
PECOS Enrollment IDI20230530003016
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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MARLA WILLIAMS
Social Worker (Clinical)
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
RURAL HEALTH, INC.
Case Manager/Care Coordinator
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
THOMAS J LARKIN III DMD
Dentist
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
JACOB W RIBBING PA
Physician Assistant
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
KEITH SAMUEL BASS NP-C
Nurse Practitioner (Family)
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
DR. MICHAEL PETER HOLUB D.D.S.
Dentist (General Practice)
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
JEFFREY ALAN SHERRILL PA-C
Physician Assistant (Medical)
513 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4471
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Orthopaedic Surgery
513 N MAIN ST
ANNA, IL 62906
Union County (618) 998-7177

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 Haley Moore's NPI number?

The NPI number for Haley Moore is 1720701576. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Haley Moore located?

Haley Moore practices at 513 N Main St, Anna, IL 62906. The listed phone number is (618) 833-4471.

What is Haley Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Moore enrolled in Medicare?

Yes. Haley 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.

Is Haley Moore affiliated with any hospitals?

According to CMS data, Haley Moore is affiliated with Memorial Hospital Of Carbondale and Anna Hospital Corporation D/B/A Union County Hospital.

When was this NPI record last updated?

The NPPES record for Haley Moore was last updated on November 13, 2023. 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.