ANNETTE RENE MOORE C.N.P. NPI 1033141155

NPI Information

  • NPI: 1033141155
  • Provider Name: ANNETTE RENE MOORE, C.N.P.
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1550 E COUNTY LINE RD
    STE 300
    INDIANAPOLIS, IN
    ZIP 46227
  • Phone: (317) 497-2300

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NPI Details

Annette Rene Moore, C.N.P. is an obstetrics and gynecology nurse practitioner in Indianapolis, IN with 32 years of experience. Annette Rene Moore, C.N.P. NPI is 1033141155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1550 E COUNTY LINE RD
STE 300
INDIANAPOLIS, IN
ZIP 46227-000
Phone: (317) 497-2300
Fax: (317) 497-2502

The NPI 1033141155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & Gynecology71000750AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000042207OTHERINDIANAANTHEM BCBS
2100473980MEDICAIDINDIANA
32439492000OTHERKENTUCKYPASSPORT ADVANTAGE
4709911POTHERINDIANASIHO
5500012166OTHERMEDICARE RAILROAD
61161025OTHERKENTUCKYPASSPORT KY MEDICAID
75012042OTHERAETNA
878007887MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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