KRISTIE MOORE
NPI 1801290242
Nurse Practitioner - Family in Columbus, OH

Q: What is Kristie Moore's NPI number?

The NPI number for Kristie Moore is 1801290242. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Q: What is Kristie Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristie Moore was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 14, 2014PECOS EnrolledAccepts Medicare Assignment

4200 REGENT ST STE 200, COLUMBUS, OH 43219(877) 870-1775(614) 968-8840 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kristie Moore NPPES

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

KRISTIE MOORE (NPI 1801290242) is an individual family provider in Columbus, Ohio, licensed in Georgia (RN191998) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Effingham Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1801290242

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTIE MOORE

Location Address4200 REGENT ST STE 200Columbus, OH 43219-6229

Mailing AddressPo Box 818Springfield, GA 31329-0818 · (912) 754-0380 · Fax (912) 754-1037

Phone(877) 870-1775

Fax(614) 968-8840

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 14, 2014

Last NPPES UpdateNovember 10, 2025

NPPES CertifiedNovember 10, 2025

✔ NPI 1801290242 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 GA · RN191998

4200 REGENT ST STE 200, Columbus, OH 43219

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Kristie 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 ID7810219961

PECOS Enrollment IDI20141201001633

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.

Effingham Health System

Critical Access Hospitals · Springfield, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111306

Location459 Ga Highway 119 SouthSpringfield, GA 31329 · Effingham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43219 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers15 claims35 services$6.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JENNIFER NICKENS FNP-C

Nurse Practitioner (Family)