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NYCOLE MOORE
NPI 1760365753
Nurse Practitioner - Family in Chicago, IL

Active since July 28, 2025PECOS Enrolled
5401 S WENTWORTH AVE, CHICAGO, IL 60609(773) 288-6900 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nycole Moore NPPES

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

NYCOLE MOORE (NPI 1760365753) is an individual family provider in Chicago, Illinois, licensed in Illinois (209031400) and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1760365753
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameNYCOLE MOORE
Location Address5401 S WENTWORTH AVEChicago, IL 60609-6300
Mailing Address5401 S Wentworth AveChicago, IL 60609-6300
Phone(773) 288-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1760365753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209031400
5401 S WENTWORTH AVE, Chicago, IL 60609
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2567941198
PECOS Enrollment IDI20260204002512
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60609 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

AMY RAMIREZ M.D.
Pediatrics
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900
MARVIN LORA DC
Chiropractor
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (312) 878-9172
GABRIELLE BROWNE
Physician Assistant
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900
BREA REBECCA HARRIS WHNP-BC
Nurse Practitioner (Women's Health)
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900
BARBARA ANN ZIMMERMAN MINNICH C.N.M.
Advanced Practice Midwife
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900
ACCESS COMMUNITY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 268-6900
DYNAMIC DENTAL SERVICES, P.C.
Dentist (General Practice)
5401 S WENTWORTH AVE, SUITE 200
CHICAGO, IL 60609
Cook County (773) 538-6191
ELLEN CHRISTINE SEYMOUR AGNP-C
Nurse Practitioner (Adult Health)
5401 S WENTWORTH AVE
CHICAGO, IL 60609
Cook County (773) 288-6900

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 Nycole Moore's NPI number?

The NPI number for Nycole Moore is 1760365753. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Nycole Moore located?

Nycole Moore practices at 5401 S Wentworth Ave, Chicago, IL 60609. The listed phone number is (773) 288-6900.

What is Nycole Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nycole Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nycole Moore was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.