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Active NPI 1003459561 Individual Practitioner Female Practitioner

Sarah Michelle Moore , APRN-CNM, PMHNP-BC

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Sarah Moore, APRN-CNM, PMHNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 909 E STATE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

909 E State Blvd

Fort Wayne, IN 468053404

Telephone 2604812700
Fax 2604812838
Associated Practice Facility / Clinic
🏢 Park Center Inc Facility NPI 1306897004

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 15 $118.13 $74.77

Medical Specialties & State Licenses

CMS Verified: 2023-08-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71009864A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Advanced Practice Midwife

NUCC Taxonomy Code: 367A00000X

State License OH APRN.CNM.019414

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OH RN.446639

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registered Nurse
28255494A (IN)
Commercial Insurance / Payer ID Nurse Midwife
09000336A (IN)
Commercial Insurance / Payer ID Aprn
APRN.CNM.019414 (OH)
Commercial Insurance / Payer ID Pmhnp-Bc
2022138568
Commercial Insurance / Payer ID Aprn
71009864A (IN)
Commercial Insurance / Payer ID Certified Nurse Midwife
CNM05835
Commercial Insurance / Payer ID Registered Nurse
RN.446639 (OH)

Secondary Practice Locations

1720 Beacon St

Fort Wayne, IN 468054749

Phone: 2603738000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003121104
Jennifer Perry , MS

Counselor - Mental Health

NPI 1003236613

Master of Science

Dr. Michelle Wiese , MD

Psychiatry & Neurology - Psychiatry

NPI 1003348343

Doctor of Medicine (M.D.)

Tina Saylor , LPN

Licensed Practical Nurse

NPI 1013190578

Licensed Practical Nurse

Julie Winn , BS

Case Manager/Care Coordinator

NPI 1013281245

Bachelor of Science

Tonya Eiden , LMHC, MS

Counselor - Mental Health

NPI 1013950088

Licensed Mental Health Counselor, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2023

Advanced Practice Midwife (License #APRN.CNM.019414 in OH)

📍
Updated Business Mailing Address April 25, 2023

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

📍
Updated Practice Location March 16, 2023

Registered at 909 E STATE BLVD, FORT WAYNE, IN 468053404 (Tel: 2604812700)

📍
Updated Business Mailing Address March 16, 2023

Registered at 909 E STATE BLVD, FORT WAYNE, IN 468053404 (Tel: 5133092260)

👤
Provider Name / Credentials Updated March 16, 2023

Recorded as SARAH MOORE, APRN-CNM, PMHNP-BC

NPI Profile Active October 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2019

Registered at 10228 DUPONT CIRCLE DR E, FORT WAYNE, IN 468251611 (Tel: 2602227401)

📍
Updated Business Mailing Address October 28, 2019

Registered at 10228 DUPONT CIRCLE DR E, FORT WAYNE, IN 468251611 (Tel: 5133092260)

👤
Provider Name / Credentials Updated October 28, 2019

Recorded as SARAH MOORE, RN, APRN-CNM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2019

Registered Nurse (License #RN.446639 in OH)

🟢
Initial NPI Registration & Enumeration October 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003459561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2019
Last Update: August 29, 2023
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.