Jodie H Moore, APRN-CNP - Medicare Nurse Practitioner in Boswell, OK

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Jodie H Moore, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Boswell, Oklahoma. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Breedlove Wound Care Of Oklahoma Llc, Family Health Center Of Southern Oklahoma Inc, Pushmataha Family Medical Center, Inc, Senior Psychcare Of Oklahoma, Llc and her current practice location is 415 6th St, Boswell, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 566-2530.

Jodie H Moore is licensed to practice in Oklahoma (license number 86293) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669031266.

Contact Information

Jodie H Moore, APRN-CNP
415 6th St,
Boswell, OK 74727-7472
(580) 566-2530
(580) 566-2533

Map and Direction




Provider's Profile

Full NameJodie H Moore
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location415 6th St, Boswell, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jodie H Moore graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1669031266
  • Provider Enumeration Date: 06/07/2019
  • Last Update Date: 03/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779810882
  • Enrollment ID: I20190813001246

Medical Identifiers

Medical identifiers for Jodie H Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669031266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 86293 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home Health Of Southeast OklahomaHugo, OKHome health agency
Mays Housecall Home Health Of Antlers, LlcAntlers, OKHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Breedlove Wound Care Of Oklahoma Llc41831456832
Family Health Center Of Southern Oklahoma Inc428453745727
Pushmataha Family Medical Center, Inc953718926113
Senior Psychcare Of Oklahoma, Llc96385668394

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. Jodie H Moore allows following entities to bill medicare on her behalf.
Entity NameFamily Health Center Of Southern Oklahoma Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598803942
PECOS PAC ID: 4284537457
Enrollment ID: O20040127001108
Entity NameCoal County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750459756
PECOS PAC ID: 8022901396
Enrollment ID: O20041012000102
Entity NamePushmataha Family Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891882676
PECOS PAC ID: 9537189261
Enrollment ID: O20081114000464
Entity NameSoutheast Oklahoma Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467993253
PECOS PAC ID: 8527324680
Enrollment ID: O20171107001072
Entity NameSenior Psychcare Of Oklahoma, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013668961
PECOS PAC ID: 9638566839
Enrollment ID: O20220418000778
Entity NameBreedlove Wound Care Of Oklahoma Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659183135
PECOS PAC ID: 4183145683
Enrollment ID: O20250312001828

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. Jodie H 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
Jodie H Moore, APRN-CNP
415 6th St,
Boswell, OK 74727

Ph: (580) 566-2530		Jodie H Moore, APRN-CNP
415 6th St,
Boswell, OK 74727-7472

Ph: (580) 566-2530

Reviews and Comments


Nurse Practitioner Nurses in Boswell, OK

Amanda Lyn Vandenburg, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 415 6th Street, Boswell, OK 74727
Phone: 580-566-2530    Fax: 580-566-2533
Haylie Ashtyn Mata,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 50 E 2040 Rd, Boswell, OK 74727
Phone: 580-920-5870    

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.