Kimbra Lee Moore, - Medicare Nurse Practitioner in Lima, OH

Kimbra Lee Moore, is a medicare enrolled "Nurse Practitioner - Gerontology" in Lima, Ohio. Her current practice location is 128 S Westwood Dr, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 231-5351.

Kimbra Lee Moore is licensed to practice in Ohio (license number APRN.CNP.020726) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992212211.

Contact Information

Kimbra Lee Moore,
128 S Westwood Dr,
Lima, OH 45805-2634
(419) 231-5351
(419) 302-1481

Map and Direction




Provider's Profile

Full NameKimbra Lee Moore
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location128 S Westwood Dr, Lima, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992212211
  • Provider Enumeration Date: 01/08/2018
  • Last Update Date: 01/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5294072005
  • Enrollment ID: I20190131001571

Medical Identifiers

Medical identifiers for Kimbra Lee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992212211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology APRN.CNP.020726 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimbra Lee Moore allows following entities to bill medicare on her behalf.
Entity NameNorthwest Ohio Obgyn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154468809
PECOS PAC ID: 7517929284
Enrollment ID: O20041103001328
Entity NameCaremed Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669123949
PECOS PAC ID: 0547653610
Enrollment ID: O20220214000722

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimbra Lee Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimbra Lee Moore,
128 S Westwood Dr,
Lima, OH 45805-2634

Ph: (419) 231-5351
Kimbra Lee Moore,
128 S Westwood Dr,
Lima, OH 45805-2634

Ph: (419) 231-5351

Reviews and Comments


Nurse Practitioner Nurses in Lima, OH

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Phone: 419-229-6781    Fax: 419-229-3490

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.