Ms Kelsey Elizabeth Moore, APRN in Marietta, GA

Ms Kelsey Elizabeth Moore, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Marietta, Georgia. Her current practice location is 1810 White Cir, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (888) 837-4819.

Ms Kelsey Elizabeth Moore is licensed to practice in Georgia (license number 181455) 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 1043563695.

Contact Information

	Ms Kelsey Elizabeth Moore, APRN
	1810 White Cir, Marietta, GA 30066-5835
	(888) 837-4819
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kelsey Elizabeth Moore
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1810 White Cir, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043563695
Provider Enumeration Date: 10/19/2012
Last Update Date: 10/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9032346184
Enrollment ID: I20170713000863

Medical Identifiers

Medical identifiers for Ms Kelsey Elizabeth Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043563695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	181455 (Georgia)	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. Ms Kelsey Elizabeth Moore allows following entities to bill medicare on her behalf.

Entity Name	Colorado Hospitalist Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265806178 PECOS PAC ID: 4486957578 Enrollment ID: O20160123000040

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. Ms Kelsey Elizabeth 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
Ms Kelsey Elizabeth Moore, APRN 1796 Walker Ridge Dr Sw, Marietta, GA 30064-4190 Ph: (770) 853-6009	Ms Kelsey Elizabeth Moore, APRN 1810 White Cir, Marietta, GA 30066-5835 Ph: (888) 837-4819

Reviews and Comments

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Ms Kelsey Elizabeth Moore, APRN - Medicare Nurse Practitioner in Marietta, GA