MS. JENNIFER ANNE MOORE FNP-BC
NPI 1851731053
Nurse Practitioner - Family in Prescott, AZ

Q: What is Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1851731053. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Q: What is Jennifer 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 Jennifer Moore was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 02, 2013PECOS EnrolledAccepts Medicare Assignment

3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305(866) 849-0692 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Mar 4, 2026, Jul 1, 2025 and 3 more (6 updates tracked since 2019).

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About Ms. Jennifer Anne Moore Fnp-bc NPPES

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

MS. JENNIFER ANNE MOORE FNP-BC (NPI 1851731053) is an individual family provider in Prescott, Arizona, licensed in Arizona (AP5066) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1851731053

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. JENNIFER ANNE MOORECredential: FNP-BC

Location Address3623 CROSSINGS DR STE 206Prescott, AZ 86305-7101

Mailing Address261 N Roosevelt AveChandler, AZ 85226-2617 · (480) 677-8282 · Fax (844) 470-2777

Phone(866) 849-0692

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 2, 2013

Last NPPES UpdateMarch 20, 20266 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1851731053 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

Licenses✔ Licensed in AZ · AP5066✔ Licensed in HI · APRN-5687

3623 CROSSINGS DR STE 206, Prescott, AZ 86305

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Secondary Practice Location 1

Location 12445 E Baseline Rd Ste 133Phoenix, AZ 85042-7090 · Phone (480) 677-8282 · Fax (844) 470-2777

Other Identifiers 1

Medicaid828347AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..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

Ms. Jennifer Anne 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 ID7113161589

PECOS Enrollment IDI20130925000380

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 86305 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$67.52 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers11 claims1,410 services$0.10 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 18

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

ROBERT WOLFE FNP

Nurse Practitioner (Family)