Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356660195 Individual Practitioner Female Practitioner

Rebecca Lynn Moore , CRNP

Nurse Practitioner • Hershey, PA

Professional Overview & Biography Verified Profile Summary

Rebecca Moore, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Hershey, PA. Practice services are available at 905 W GOVERNOR RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

905 W Governor Rd
Suite 250

Hershey, PA 170332310

Telephone 7175317235
Associated Practice Facility / Clinic
🏢 Hershey Endoscopy Center, Llc Facility NPI 1710985445

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hershey, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
229 Specialists

Practicing in Hershey, PA (3955 Statewide)

Telehealth Adoption Rate
13.1% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP010716

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1031501200001 (PA)

Practice Associates & Co-Workers

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

19 Associated Practitioners
Dr. Martha Levine , MD

Pediatrics - Adolescent Medicine

NPI 1013954668

Doctor of Medicine (M.D.)

Dr. Cheryl Tierney , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1023092749

Doctor of Medicine (M.D.)

Dr. Elizabeth Miceli , PsyD

Psychologist - Clinical Child & Adolescent

NPI 1033667548

Doctor of Psychology (Psy.D.)

Dr. Ryan Uy , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1154618031

Doctor of Medicine (M.D.)

Dr. Rosemary Roden , MD

Pediatrics - Adolescent Medicine

NPI 1235540782

Doctor of Medicine (M.D.)

Dr. Jennifer Shook , MD

Pediatrics - Adolescent Medicine

NPI 1245657451

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active November 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2017

Registered at 905 W GOVERNOR RD, SUITE 250, HERSHEY, PA 170332310 (Tel: 7175317235)

📍
Updated Business Mailing Address November 24, 2017

Registered at PO BOX 858, MCA410, HERSHEY, PA 170330858 (Tel: 8002431455)

👤
Provider Name / Credentials Updated November 24, 2017

Recorded as REBECCA MOORE, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2017

Nurse Practitioner (License #SP010716 in PA)

NPI Profile Active May 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2010

Registered at 905 W GOVERNOR RD, SUITE 250, HERSHEY, PA 170332307 (Tel: 8002431455)

📍
Updated Business Mailing Address May 19, 2010

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 8002431455)

👤
Provider Name / Credentials Updated May 19, 2010

Recorded as REBECCA ELENBACK, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2010

Nurse Practitioner (License #SP010716 in PA)

🟢
Initial NPI Registration & Enumeration May 19, 2010

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: 1356660195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2010
Last Update: November 24, 2017
Sole Proprietor: No

Mailing Address

Po Box 858, Mca410

Hershey, PA 170330858

Phone: 8002431455

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.