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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY RENEE MOORE AGPCNP-BC
NPI 1780128942
Nurse Practitioner - Gerontology in Saint Louis, MO

Active since December 07, 2016PECOS Enrolled
100 S 4TH ST STE 1000, SAINT LOUIS, MO 63102(844) 337-3627(855) 737-5542 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Renee Moore Agpcnp-bc NPPES

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

KELLY RENEE MOORE AGPCNP-BC (NPI 1780128942) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2016029955) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780128942
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKELLY RENEE MOORECredential: AGPCNP-BC
Location Address100 S 4TH ST STE 1000Saint Louis, MO 63102-1825
Mailing Address12900 Park Plaza Dr Ste 150Cerritos, CA 90703-9329
Phone(844) 337-3627
Fax(855) 737-5542
Sole ProprietorNo
Enumeration DateDecember 7, 2016
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1780128942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MO · 2016029955
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License H158697 (IA), 209015105 (IL)
100 S 4TH ST STE 1000, Saint Louis, MO 63102
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112421 Meredith Dr Ste 130Urbandale, IA 50323-4000 · Phone (515) 219-3783 · Fax (855) 737-5542
Location 2233 S Wacker Dr Ste 3700Chicago, IL 60606-6382 · Phone (847) 448-0400 · Fax (855) 737-5542

Other Identifiers 1

Other1780128942MO · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Renee Moore Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelly Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Telemedico Physicians Of Missouri
108 mi
Cardiovascular Disease
221 BOLIVAR ST
Jefferson City, MO 65101
  • Reassigned Medicare billing, Missouri enrollment
  • 17 clinicians in this Medicare group
NPI 1700365707 (847) 386-7744
Barnes Health Care Management Group LLC
121 mi
Geriatric Medicine
2101 CORONA RD STE 102
Columbia, MO 65203
  • Reassigned Medicare billing, Missouri enrollment
  • 58 clinicians in this Medicare group
NPI 1396999686 (573) 234-1800
Carelon Medical Partners, PC
258 mi
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, Iowa and Missouri enrollments
  • 11 clinicians in this Medicare group
NPI 1124443403 (615) 454-9850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
858 services171 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
259 services91 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
168 services80 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
95 services95 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
32 services32 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63102 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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

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

KRYSTAL M REES APRN
Nurse Practitioner (Family)
100 S 4TH ST STE 1000
SAINT LOUIS, MO 63102
St. Louis City (657) 309-1619

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 Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1780128942. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Kelly Moore located?

Kelly Moore practices at 100 S 4th St Ste 1000, Saint Louis, MO 63102. The listed phone number is (844) 337-3627.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kelly Moore enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Moore reassigns Medicare benefits to 3 organizations: Telemedico Physicians Of Missouri (Jefferson City, MO), Barnes Health Care Management Group LLC (Columbia, MO) and Carelon Medical Partners, PC (Nashville, TN). Each 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 Kelly Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Moore accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Kelly 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 Kelly Moore was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.