Sarah Michelle Moore, APRN-CNM, PMHNP-BC - Medicare Nurse Practitioner in Fort Wayne, IN

Sarah Michelle Moore, APRN-CNM, PMHNP-BC is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 909 E State Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 481-2700.

Sarah Michelle Moore is licensed to practice in Indiana (license number 71009864A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003459561.

Contact Information

Sarah Michelle Moore, APRN-CNM, PMHNP-BC
909 E State Blvd,
Fort Wayne, IN 46805-3404
(260) 481-2700
(260) 481-2838



Provider's Profile

Full NameSarah Michelle Moore
GenderFemale
SpecialityNurse Practitioner
Location909 E State Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003459561
  • Provider Enumeration Date: 10/28/2019
  • Last Update Date: 08/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072977230
  • Enrollment ID: I20230907000795

Medical Identifiers

Medical identifiers for Sarah Michelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003459561NPI-NPPES
28255494AOtherINREGISTERED NURSE
09000336AOtherINNURSE MIDWIFE
APRN.CNM.019414OtherOHAPRN
2022138568OtherPMHNP-BC
71009864AOtherINAPRN
CNM05835OtherCERTIFIED NURSE MIDWIFE
RN.446639OtherOHREGISTERED NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife APRN.CNM.019414 (Ohio)Secondary
163W00000XRegistered Nurse RN.446639 (Ohio)Secondary
363L00000XNurse Practitioner 71009864A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sarah Michelle Moore allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288

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Entity NamePark Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897004
PECOS PAC ID: 5991794794
Enrollment ID: O20041213000226

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sarah Michelle Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sarah Michelle Moore, APRN-CNM, PMHNP-BC
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -
Sarah Michelle Moore, APRN-CNM, PMHNP-BC
909 E State Blvd,
Fort Wayne, IN 46805-3404

Ph: (260) 481-2700

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Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804
Phone: 260-484-8830    Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814
Phone: 260-435-3272    Fax: 260-435-3275
Stephanie Ann Clouse, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804
Phone: 260-435-7612    Fax: 260-435-7672
Cathy S Walker, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825
Phone: 260-480-2600    Fax: 260-496-8077
Amber N Gullion, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815
Phone: 260-483-9081    Fax: 260-483-9196
Cara E Walker, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845
Phone: 260-422-7455    
Kara Yackee,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-469-6610    Fax: 260-969-3065

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