COLEEN MOORE
NPI 1730824616
Counselor - Professional in Normal, IL
About Coleen Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLEEN MOORE (NPI 1730824616) is an individual professional provider in Normal, Illinois, licensed in Illinois (180004169) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Coleen 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.
Medicare Billing Reassignment
Medicare enrollment records show Coleen Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, IL 61701
- Reassigned Medicare billing, Illinois enrollment
- 201 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Coleen Moore's NPI number?
The NPI number for Coleen Moore is 1730824616. It was assigned to this individual provider in the NPPES registry on May 4, 2022.
Where is Coleen Moore located?
Coleen Moore practices at 1606 Hunt Dr, Normal, IL 61761. The listed phone number is (309) 452-0069.
What is Coleen Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Coleen Moore enrolled in Medicare?
Yes. Coleen 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.
Which organization bills Medicare for Coleen Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coleen Moore reassigns Medicare benefits to Gibson Community Hospital Association (Bloomington, IL). 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 Coleen 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 Coleen Moore was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Coleen Moore · NPI 1730824616
Professional provider in Normal, Illinois. Individual provider, active in the CMS NPPES registry since May 4, 2022.
## Identity
- **NPI:** 1730824616 (Entity type: Individual)
- **Enumerated:** May 4, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180004169 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1606 HUNT DR, Normal, IL 61761-2192
- **Phone:** (309) 452-0069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Gibson Community Hospital Association (NPI 1457616229, Bloomington, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** May 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730824616) · Data from the CMS NPPES public registry.