Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164170189 Individual Practitioner Female Practitioner

Crystal Moore

Contractor • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Crystal Moore is a registered healthcare professional specializing in Contractor in Milwaukee, WI. Practice services are available at 2115 W ROOSEVELT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2115 W Roosevelt Dr

Milwaukee, WI 532096323

Telephone 4142070551
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
23 Specialists

Practicing in Milwaukee, WI (91 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2022-03-17
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 17, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2022

Registered at 2115 W ROOSEVELT DR, MILWAUKEE, WI 532096323 (Tel: 4142070551)

📍
Updated Business Mailing Address March 17, 2022

Registered at 2115 W ROOSEVELT DR, MILWAUKEE, WI 532096323 (Tel: 4142070551)

👤
Provider Name / Credentials Updated March 17, 2022

Recorded as CRYSTAL MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2022

Contractor

🟢
Initial NPI Registration & Enumeration March 17, 2022

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: 1164170189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2022
Last Update: March 17, 2022
Sole Proprietor: No

Mailing Address

2115 W Roosevelt Dr

Milwaukee, WI 532096323

Phone: 4142070551

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.