Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104457647 Deactivated / Inactive NPI Female Practitioner

Cheryl Dianne Moore

Case Manager/Care Coordinator • Muskogee, OK

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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, Cheryl Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2020
NPI Deactivation Date May 15, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Cheryl Moore was a registered Case Manager/Care Coordinator practicing in Muskogee, OK. Throughout an active medical career spanning 5 years, Cheryl Moore provided care at the practice location at 619 N MAIN ST until profile deactivation on 2025-05-15.

Practice Location & Contact Primary Location

Practice Address

619 N Main St

Muskogee, OK 744014431

Telephone 9186871039
Fax 9186839484
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Muskogee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.7 Yrs
State Avg: 6.6 Yrs
Regional Practice Density
178 Specialists

Practicing in Muskogee, OK (8984 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Emma Delarosa

Case Manager/Care Coordinator

NPI 1023757416
Kristie Koble

Peer Specialist

NPI 1053942599
Sequoia Brennan , BA

Counselor - Mental Health

NPI 1073708673

Bachelor of Arts

Shannon Vannoy

Peer Specialist

NPI 1093289357
Kristen Suzuki

Social Worker

NPI 1093976920
Dekota Washburn

Peer Specialist

NPI 1104461995

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 15, 2025

Record deactivated on May 15, 2025

NPI Profile Active February 03, 2020

NPI status registered as active in NPPES database

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Updated Practice Location February 03, 2020

Registered at 619 N MAIN ST, MUSKOGEE, OK 744014431 (Tel: 9186871039)

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Updated Business Mailing Address February 03, 2020

Registered at 619 N MAIN ST, MUSKOGEE, OK 744014431 (Tel: 9186871039)

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Provider Name / Credentials Updated February 03, 2020

Recorded as CHERYL MOORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2020

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration February 03, 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: 1104457647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2020
Last Update: February 03, 2020
Deactivation Date: May 15, 2025

Mailing Address

619 N Main St

Muskogee, OK 744014431

Phone: 9186871039

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.