Nycole Moore, - Medicare Nurse Practitioner in Chicago, IL

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Nycole Moore, is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. This provider graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. Their current practice location is 5401 S Wentworth Ave, Chicago, Illinois. You can reach out to their office (for appointments etc.) via phone at (773) 288-6900.

Nycole Moore is licensed to practice in Illinois (license number 209031400) and this provider also participates in the medicare program. This provider may accept medicare assignments (which means this provider may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and their NPI Number is 1760365753.

Contact Information

Nycole Moore,
5401 S Wentworth Ave,
Chicago, IL 60609-6300
(773) 288-6900
Not Available

Map and Direction




Provider's Profile

Full NameNycole Moore
Gender
SpecialityNurse Practitioner
Experience2 Years
Location5401 S Wentworth Ave, Chicago, Illinois
Accepts Medicare AssignmentsMay be. This provider may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nycole Moore graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1760365753
  • Provider Enumeration Date: 07/28/2025
  • Last Update Date: 07/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2567941198
  • Enrollment ID: I20260204002512

Medical Identifiers

Medical identifiers for Nycole Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760365753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209031400 (Illinois)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. Nycole Moore allows following entities to bill medicare on their behalf.
Entity NameAccess Community Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982783692
PECOS PAC ID: 9537076112
Enrollment ID: O20031204000985

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. Nycole 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
Nycole Moore,
5401 S Wentworth Ave,
Chicago, IL 60609-6300

Ph: Not Available		Nycole Moore,
5401 S Wentworth Ave,
Chicago, IL 60609-6300

Ph: (773) 288-6900

Reviews and Comments


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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.