EMILY MOORE PA-C
NPI 1891197570
Physician Assistant - Medical in Boise, ID

Q: What is Emily Moore's NPI number?

The NPI number for Emily Moore is 1891197570. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Q: What is Emily Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Emily Moore was last updated on October 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment

701 E PARKCENTER BLVD, BOISE, ID 83706(208) 381-4210(208) 381-2045 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Emily Moore Pa-c NPPES

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

EMILY MOORE PA-C (NPI 1891197570) is an individual medical provider in Boise, Idaho, licensed in Idaho (PA-1200) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Mountain Home.

NPPES Registry Identity

NPI1891197570

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameEMILY MOORECredential: PA-C

Location Address701 E PARKCENTER BLVDBoise, ID 83706-6528

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222

Phone(208) 381-4210

Fax(208) 381-2045

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 24, 2014

Last NPPES UpdateOctober 10, 2024

NPPES CertifiedOctober 10, 2024

✔ NPI 1891197570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-1200

701 E PARKCENTER BLVD, Boise, ID 83706

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Secondary Practice Location 1

Location 1465 McKenna DrMountain Home, ID 83647-2143 · Phone (208) 587-9703

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.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

Emily Moore Pa-c 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 ID7517281322

PECOS Enrollment IDI20150127002383

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131323

Location100 Hospital DriveKetchum, ID 83340 · Blaine County

Emergency services Birthing friendly

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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.

DR. THORNTON E BRYAN III MD

Family Medicine