JOHN WAYNE MOORE PA-C NPI 1669552550

NPI Information

  • NPI: 1669552550
  • Provider Name: JOHN WAYNE MOORE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 E BOGARD RD
    WASILLA, AK
    ZIP 99654
  • Phone: (907) 373-2225

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NPI Details

John Wayne Moore, PA-C is a medical physician assistant in Wasilla, AK with 25 years of experience. John Wayne Moore, PA-C NPI is 1669552550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 E BOGARD RD
WASILLA, AK
ZIP 99654-114
Phone: (907) 373-2225
Fax: (907) 376-9225

The NPI 1669552550 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)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel (HCPCS:U0001)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
  • Infusion, normal saline solution, 250 cc (HCPCS:J7050)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Infusion, normal saline solution, sterile (500 ml = 1 unit) (HCPCS:J7040)
  • Intravenous injection, bebtelovimab, includes injection and post administration monitoring (HCPCS:M0222)
  • Automated urinalysis test (HCPCS:81003)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/1/2024.

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
1363AM0700XPhysician AssistantMedicalNo
2363AM0700XPhysician AssistantMedical508ALASKAYes

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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