Mary Maudeana Moore, CNP - Medicare Nurse Practitioner in Minot Afb, ND

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Mary Maudeana Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Minot Afb, North Dakota. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Russellville Hospital Inc., Eastern Hospital Medicine Pc and her current practice location is 10 Missile Ave, Minot Afb, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 723-5190.

Mary Maudeana Moore is licensed to practice in Alabama (license number 1-117717) 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 1689077927.

Contact Information

Mary Maudeana Moore, CNP
10 Missile Ave,
Minot Afb, ND 58705-5003
(701) 723-5190
(701) 723-5391

Map and Direction




Provider's Profile

Full NameMary Maudeana Moore
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location10 Missile Ave, Minot Afb, North Dakota
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:
  • Mary Maudeana Moore graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1689077927
  • Provider Enumeration Date: 10/01/2014
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698097764
  • Enrollment ID: I20211101002209

Medical Identifiers

Medical identifiers for Mary Maudeana Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689077927NPI-NPPES
200558940AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 114792 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 1-117717 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Russellville Hospital Inc.347687848989
Eastern Hospital Medicine Pc832504459733

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. Mary Maudeana Moore allows following entities to bill medicare on her behalf.
Entity NameEastern Hospital Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104859123
PECOS PAC ID: 8325044597
Enrollment ID: O20061011000241
Entity NameAdvantage Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023447943
PECOS PAC ID: 7618103748
Enrollment ID: O20131120001477
Entity NameRussellville Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780232314
PECOS PAC ID: 3476878489
Enrollment ID: O20191018002761
Entity NameMedical Director Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20250319000502

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. Mary Maudeana 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
Mary Maudeana Moore, CNP
130 River Rd Apt E207,
Muscle Shoals, AL 35661-1338

Ph: (918) 661-6180		Mary Maudeana Moore, CNP
10 Missile Ave,
Minot Afb, ND 58705-5003

Ph: (701) 723-5190

Reviews and Comments


Nurse Practitioner Nurses in Minot Afb, ND

Dr. Lisa Krogman, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10 Missile Ave, Minot Afb, ND 58705
Phone: 701-723-5444    
Maribelle Anne Faucett, WHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10 Missile Ave, Minot Afb, ND 58705
Phone: 701-723-5633    
Julianne Legierse, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10 Missle Ave 5th Medical Group, Minot Afb, ND 58405
Phone: 701-723-5633    
Mrs. April Elizabeth Warren, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 194 Missile Ave, Minot Afb, ND 58705
Phone: 701-509-0075    

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.