Misti Dawn Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Troy, Kansas. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Meritas Health Corporation, Heartland Regional Medical Center, Restore Muscle And Joint, Llc, Heartland Regional Medical Center and her current practice location is
207 S Main St, Troy, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 985-2211.
Misti Dawn Moore is licensed to practice in Kansas (license number 78441) 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 1558851329.
Provider's Profile
Full Name | Misti Dawn Moore |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 207 S Main St, Troy, Kansas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Misti Dawn Moore graduated from nursing school in 2018
NPI Data:
- NPI Number: 1558851329
- Provider Enumeration Date: 05/16/2018
- Last Update Date: 04/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890042097
- Enrollment ID: I20180719000234
Medical Identifiers
Medical identifiers for Misti Dawn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558851329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2018015530 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 78441 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Meritas Health Corporation | 6305748153 | 365 |
Heartland Regional Medical Center | 6709772767 | 342 |
Restore Muscle And Joint, Llc | 9830346824 | 7 |
Heartland Regional Medical Center | 6709772767 | 342 |
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. Misti Dawn Moore allows following entities to bill medicare on her behalf.
Entity Name | Meritas Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058 |
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Entity Name | Heartland Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
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Entity Name | Minuteclinic Diagnostic Of Kansas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629005558 PECOS PAC ID: 7416043807 Enrollment ID: O20071017000125 |
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Entity Name | Restore Muscle And Joint, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962767061 PECOS PAC ID: 9830346824 Enrollment ID: O20120827000438 |
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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. Misti Dawn 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 Address | Practice Location Address |
Misti Dawn Moore, FNP 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3512 Ph: (816) 271-1066 | Misti Dawn Moore, FNP 207 S Main St, Troy, KS 66087-4017 Ph: (785) 985-2211 |
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