JACOB EVANS MOORE
NPI 1730761107
Student in an Organized Health Care Education/Training Program in Huntsville, AL

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment
8 WADSWORTH DR, HUNTSVILLE, AL 35808(503) 367-4706 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Evans Moore NPPES

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

JACOB EVANS MOORE (NPI 1730761107) is an individual student in an organized health care education/training program in Huntsville, Alabama and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Alabama College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1730761107
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB EVANS MOORE
Location Address8 WADSWORTH DRHuntsville, AL 35808-1007
Mailing Address8 Wadsworth DrHuntsville, AL 35808-1007 · (503) 367-4706
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 26, 2021
NPPES CertifiedApril 26, 2021
NPI 1730761107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8 WADSWORTH DR, Huntsville, AL 35808

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

Jacob Evans Moore 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 ID5193129856
PECOS Enrollment IDI20251008001218
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.

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

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 Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1730761107. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Jacob Moore located?

Jacob Moore practices at 8 Wadsworth Dr, Huntsville, AL 35808. The listed phone number is (503) 367-4706.

What is Jacob Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Moore enrolled in Medicare?

Yes. Jacob 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 Jacob Moore accept?

Health plans from HMO Louisiana list Jacob 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.

Is Jacob Moore affiliated with any hospitals?

According to CMS data, Jacob Moore is affiliated with Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Jacob Moore was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.