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Active NPI 1497351993 Individual Practitioner Female Practitioner

Courtney Elaine Moore , NP

Nurse Practitioner • Waverly, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Courtney Moore, NP is a certified Nurse Practitioner practicing in Waverly, OH. With approximately 6 years of clinical experience since completing medical education in 2020, Courtney Moore delivers high-quality medical care to the local community at 835 W EMMITT AVE.

Courtney Moore maintains professional affiliations with Somc Medical Care Foundation, Inc., National Church Residences Medical Home, At Your Door Visiting Healthcare Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

835 W Emmitt Ave

Waverly, OH 456901190

Telephone 7409477662
Fax 7409410099
Associated Practice Facility / Clinic
🏢 Southern Ohio Medical Center Facility NPI 1548037476

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waverly, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs +0.2 yrs vs City Avg
City Avg: 5.8 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Waverly, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (6 Years) 6 Yrs
Waverly Specialty Average (5.8 Years) 5.8 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes
96 88 $123.65 $52.99

Medical Specialties & State Licenses

CMS Verified: 2024-01-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH ARN.CNP.0027818

(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.

Hospital & Practice Group Affiliations

National Church Residences Medical Home

5475 Rings Rd, Dublin, OH 430177537

Phone: 6144576950

Somc Medical Care Foundation, Inc.

835 W Emmitt Ave, Waverly, OH 456901190

Phone: 7409477662

At Your Door Visiting Healthcare Services Llc

314 Agler Rd, Columbus, OH 432302546

Phone: 6142844114

Practice Associates & Co-Workers

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

13 Associated Practitioners
Denise Duffy , CNP

Nurse Practitioner

NPI 1194219949

Certified Nurse Practitioner

Angela Gilliland , CNP

Nurse Practitioner

NPI 1235388968

Certified Nurse Practitioner

Megan Johnson , PA-C

Physician Assistant

NPI 1568131480

Physician Assistant (Certified)

NPI 1598783730

Doctor of Osteopathic Medicine (D.O.)

Caylee Hopkins , CNP

Nurse Practitioner

NPI 1629508981

Certified Nurse Practitioner

Sarah Williams , PA-C

Physician Assistant

NPI 1669160677

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 30, 2024

Registered at 835 W EMMITT AVE, WAVERLY, OH 456901190 (Tel: 7409477662)

📍
Updated Business Mailing Address January 30, 2024

Registered at 1735 27TH ST, PORTSMOUTH, OH 456622677 (Tel: 7403565000)

👤
Provider Name / Credentials Updated December 17, 2020

Recorded as COURTNEY MOORE, NP

NPI Profile Active December 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2020

Registered at HOLZER CLINIC LLC, 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404411949)

📍
Updated Business Mailing Address December 09, 2020

Registered at HOLZER CLINIC LLC, 90 JACKSON PIKE, GALLIPOLIS, OH 45631 (Tel: 7404411949)

👤
Provider Name / Credentials Updated December 09, 2020

Recorded as COURTNEY ROWE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2020

Nurse Practitioner (License #ARN.CNP.0027818 in OH)

🟢
Initial NPI Registration & Enumeration December 09, 2020

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: 1497351993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2020
Last Update: January 30, 2024
Sole Proprietor: No

Mailing Address

1735 27th St

Portsmouth, OH 456622677

Phone: 7403565000

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.