JACQUELINE MOORE ARNP
NPI 1801874805
Nurse Practitioner - Obstetrics & Gynecology in Tulsa, OK
About Jacqueline Moore Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MOORE ARNP (NPI 1801874805) is an individual obstetrics & gynecology provider in Tulsa, Oklahoma, licensed in Oklahoma (R0033672) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Moore Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
Muskogee, OK 74401
- Reassigned Medicare billing, Texas enrollment
- 655 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TULSA, OK 74136
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 Jacqueline Moore's NPI number?
The NPI number for Jacqueline Moore is 1801874805. It was assigned to this individual provider in the NPPES registry on January 9, 2006.
Where is Jacqueline Moore located?
Jacqueline Moore practices at 6600 S Yale Ave Ste 650, Tulsa, OK 74136. The listed phone number is (918) 502-7200.
What is Jacqueline Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Jacqueline Moore enrolled in Medicare?
Yes. Jacqueline Moore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Moore reassigns Medicare benefits to 2 organizations: St. John Physicians, Inc. (Tulsa, OK) and Creek Nation Hospital & Clinics (Muskogee, OK). 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 Jacqueline Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Moore accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Jacqueline 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 Jacqueline Moore was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Jacqueline Moore, ARNP · NPI 1801874805
Obstetrics & Gynecology physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since January 9, 2006.
## Identity
- **NPI:** 1801874805 (Entity type: Individual)
- **Enumerated:** January 9, 2006
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** R0033672 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 6600 S YALE AVE, STE 650, Tulsa, OK 74136-3310
- **Phone:** (918) 502-7200 · **Fax:** (918) 502-7205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. John Physicians, Inc. (NPI 1336194406, Tulsa, OK); Creek Nation Hospital & Clinics (NPI 1922873611, Muskogee, OK) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801874805) · Data from the CMS NPPES public registry.