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NPI · 1669072112 · NPPES-sourced

Kelly Moore NP

ActivePrimary Care Nurse Practitioner
NPI Number
1669072112
Type 1 · Individual
Taxonomy Code
363LP2300X
Contact
(817) 454-8055
License TX · 1011153
Last Updated
Enumerated
Primary practice addressTX · 76104-2717
1401 W Pulaski StFort Worth, TX 76104-2717
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About this NPIWhat this record shows.

NPI 1669072112 is registered to Kelly Moore NP, a Primary Care Nurse Practitioner practising at 1401 W Pulaski St in Fort Worth, Texas. Primary Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kelly Moore NP has been enumerated in the National Provider Identifier (NPI) registry since 2020.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kelly Moore NP accepts. To confirm in-network status with your specific health plan, contact Kelly Moore NP directly at (817) 454-8055.

Frequently asked

Yes. NPI 1669072112 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (817) 454-8055.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kelly Moore NP is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LP2300X
Last updated
Enumerated
StatusActive
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