TONYA MOORE APN NPI 1225434772

NPI Information

  • NPI: 1225434772
  • Provider Name: TONYA MOORE, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 834 N SEMINARY ST STE 501
    GALESBURG, IL
    ZIP 61401
  • Phone: (309) 343-4114

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NPI Details

Tonya Moore, APN is a family nurse practitioner in Galesburg, IL with 11 years of experience. Tonya Moore, APN NPI is 1225434772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2014

The provider's business location address is:

834 N SEMINARY ST STE 501
GALESBURG, IL
ZIP 61401-501
Phone: (309) 343-4114
Fax: (309) 676-8455

The NPI 1225434772 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, 30-39 minutes (HCPCS:99214)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)

The enumeration date for this NPI number is 11/11/2014 and was last updated on 1/16/2025.

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
1363LF0000XNurse PractitionerFamily209012046ILLINOISYes

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
1209012046MEDICAIDILLINOIS

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

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