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JONATHAN FOSTER-MOORE FNP-BC
NPI 1790394096
Nurse Practitioner - Family in Roxbury, MA

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
45 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 541-8472 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 16, 2020, Sep 11, 2020, Jul 23, 2020 (3 updates tracked since 2020).

About Jonathan Foster-moore Fnp-bc NPPES

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

JONATHAN FOSTER-MOORE FNP-BC (NPI 1790394096) is an individual family provider in Roxbury, Massachusetts, licensed in Massachusetts (2330326) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790394096
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJONATHAN FOSTER-MOORECredential: FNP-BC
Location Address45 DIMOCK STRoxbury, MA 02119-1208
Mailing Address112 Hyde Park Ave Apt 3Boston, MA 02130-4155 · (413) 588-1685
Phone(617) 442-8800
Fax(617) 541-8472
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 23, 2020
Last NPPES UpdateNovember 16, 20203 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1790394096 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 MA · 2330326
45 DIMOCK ST, Roxbury, MA 02119
Open in Google Maps ↗

Other Identifiers 1

Medicaid110164952AMA

Accepted Insurance

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

Jonathan Foster-moore Fnp-bc 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 ID4082034665
PECOS Enrollment IDI20201020003648
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.

Areas of Expertise CMS Part B claims

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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
24 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

SUSANA TEJADA D.M.D.
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DR. EMILY LAUREN KELLOGG MD
Obstetrics & Gynecology
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
SOFIA PELLON LCSW
Social Worker
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
HODA HAMED OD
Optometrist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
ASHLEY CORREIA
Social Worker (Clinical)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DARREN CHEW DPT
Physical Therapist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 445-0647
JUDANA SANDRA BENNETT
Nurse Practitioner (Psychiatric/Mental Health)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 816-6505
DR. SELENA MARIA FRANCIS DMD
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800

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 Jonathan Foster-moore's NPI number?

The NPI number for Jonathan Foster-moore is 1790394096. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Jonathan Foster-moore located?

Jonathan Foster-moore practices at 45 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Jonathan Foster-moore's specialty?

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

Is Jonathan Foster-moore enrolled in Medicare?

Yes. Jonathan Foster-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 Jonathan Foster-moore accept?

Health plans from Anthem Blue Cross and Blue Shield list Jonathan Foster-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 Jonathan Foster-moore was last updated on November 16, 2020. 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.