Moore Wellness
NPI 1649979329ActiveOrganization· Nurse Practitioner· Spokane, WA
Nurse Practitioner in Spokane, Washington, registered in NPPES in March 2023. The authorized official on file is Colleen Marie-Kieser Moore, Ao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649979329 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2023 |
| Last updated in NPPES | Jul 6, 2026 |
| Certified by provider | Jul 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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 Part B Supplier - Clinic/Group Practice (WA) |
|---|
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