Jordan Russell Moore, - Medicare Nurse Practitioner in Mount Vernon, OH

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Jordan Russell Moore, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mount Vernon, Ohio. His current practice location is 206 S Mulberry St Ste A, Mount Vernon, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 326-9988.

Jordan Russell Moore is licensed to practice in Ohio (license number APRN.CNP.025092) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821651571.

Contact Information

Jordan Russell Moore,
206 S Mulberry St Ste A,
Mount Vernon, OH 43050-3331
(740) 326-9988
(740) 326-1175

Map and Direction




Provider's Profile

Full NameJordan Russell Moore
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location206 S Mulberry St Ste A, Mount Vernon, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821651571
  • Provider Enumeration Date: 04/18/2019
  • Last Update Date: 07/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4183953292
  • Enrollment ID: I20190913002137

Medical Identifiers

Medical identifiers for Jordan Russell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821651571NPI-NPPES
APRN.CNP.025092OtherOHSTATE LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.025092 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.025092 (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. Jordan Russell Moore allows following entities to bill medicare on his behalf.
Entity NameNorth Central Ohio Family Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689822827
PECOS PAC ID: 3274437082
Enrollment ID: O20031124000232
Entity NameKnox County General Health District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306818075
PECOS PAC ID: 8820078595
Enrollment ID: O20040722001116
Entity NameRevive Behavioral Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003601220
PECOS PAC ID: 1850800046
Enrollment ID: O20250530000993

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. Jordan Russell 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
Jordan Russell Moore,
206 S Mulberry St Ste A,
Mount Vernon, OH 43050-3331

Ph: (740) 326-9988		Jordan Russell Moore,
206 S Mulberry St Ste A,
Mount Vernon, OH 43050-3331

Ph: (740) 326-9988

Reviews and Comments


Nurse Practitioner Nurses in Mount Vernon, OH

Tabitha Marrie Baughman, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 180 Birch St, C, Mount Vernon, OH 43050
Phone: 740-501-4705    
Alyssa Romanko, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 503 Wooster Rd, Mount Vernon, OH 43050
Phone: 740-326-6552    
Kori L Kirkhope, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050
Phone: 740-393-9000    Fax: 740-392-0167
Laura Eichenlaub, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050
Phone: 740-393-9000    
Mrs. Jill Hunter, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050
Phone: 740-393-9000    
Mrs. Sydny Alexis Dorsey, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 Harcourt Rd Ste 2, Mount Vernon, OH 43050
Phone: 614-987-8847    
Autumn Marie Viars, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8402 Blackjack Rd, Mount Vernon, OH 43050
Phone: 419-565-6772    

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).

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