Kristen L. Moore, PA
NPI 1376609057ActiveIndividual· Physician Assistant, Medical· Farmington, CT
Physician Assistant, Medical (PA) in Farmington, Connecticut, licensed in CT, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1376609057 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Sep 15, 2022 |
| Certified by provider | Sep 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 001138 | CT |
| Physician Assistant | 363A00000X | 001138 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CT) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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