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Deactivated NPI 1023083987 Deactivated / Inactive NPI Female Practitioner

Jean Moore , CFNP

Nurse Practitioner • Warsaw, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jean Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 22, 2006
NPI Deactivation Date December 10, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Jean Moore, CFNP was a registered Nurse Practitioner practicing in Warsaw, MO. Throughout an active medical career spanning 13 years, Jean Moore provided care at the practice location at 1330 COMMERCIAL STREET until profile deactivation on 2019-12-10.

Historical Medicare Part B clinical services included hemoglobin a1c level, automated urinalysis test, urine microalbumin (protein) analysis. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1330 Commercial Street

Warsaw, MO 65355

Telephone 6604382717
Fax 6604382313
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Warsaw, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Warsaw, MO (1750 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.0% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
37 25 $23.00 $10.57

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2001016850

(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.

Practice Associates & Co-Workers

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

10 Associated Practitioners
George Holmes , LMSW

Social Worker - Clinical

NPI 1063956738

Licensed Master Social Worker

Lauren Sons , LMSW

Social Worker

NPI 1144174418

Licensed Master Social Worker

Megan Rowland , NP

Nurse Practitioner - Family

NPI 1194166520

Nurse Practitioner

Michael Machnicki , LCSW

Social Worker - Clinical

NPI 1225553670

Licensed Clinical Social Worker

Dr. Peter Steadman , DMD

Dentist - General Practice

NPI 1265922801

Doctor of Dental Medicine

Jessica Burdick , RDH

Dental Hygienist

NPI 1285994509

Registered Dental Hygienist

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated December 10, 2019

Record deactivated on December 10, 2019

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Updated Practice Location May 21, 2019

Registered at 17571 N DAM ACCESS RD, WARSAW, MO 653556396 (Tel: 6604382717)

NPI Profile Active April 07, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2011

Registered at 1330 COMMERCIAL STREET, WARSAW, MO 65355 (Tel: 6604382717)

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Updated Business Mailing Address April 07, 2011

Registered at 821 WESTWOOD DR, SEDALIA, MO 653012102 (Tel: 6608264774)

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Provider Name / Credentials Updated April 07, 2011

Recorded as JEAN MOORE, CFNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2011

Nurse Practitioner (License #2001016850 in MO)

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Initial NPI Registration & Enumeration February 22, 2006

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: 1023083987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: April 07, 2011
Deactivation Date: December 10, 2019

Mailing Address

821 Westwood Dr

Sedalia, MO 653012102

Phone: 6608264774

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.