MRS. JAMIE LEIGH MOORE (AGNP) – Gerontology Nurse Practitioner, NPI 1255808655

MRS. JAMIE LEIGH MOORE (AGNP) is a healthcare provider. based in Archie, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. 2018038102 (MO). The NPI Number for MRS. JAMIE LEIGH MOORE (AGNP) is 1255808655

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JAMIE LEIGH MOORE (AGNP)
NPI
1255808655
Phone
(816) 825-5380
Address
32701 S DORSETT HILL LN
Enumeration Date
24 October 2018
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6608908023
Graduation Year
2018 (8 years ago)
PAC ID
2668717695
Group Practice PAC ID
4688561814
Professional Enrollment ID
I20181220000370
Address ID
MO647351192CL1602XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for MRS. JAMIE LEIGH MOORE (AGNP)

  • 32701 S DORSETT HILL LN

    ARCHIE, MO 647259172

    Phone: (816) 825-5380

    Type: Mailing

  • East 42nd Street South, Fairway Gardens, Independence, Jackson County, Missouri, 64055, United States

    INDEPENDENCE, MO 640557308

    Phone: (816) 333-9200

    Type: Location

  • 2900 NE 60th St Ste 150

    Gladstone, MO 641191895

    Phone: (816) 333-9200

    Type: Location

  • 601 E Russell Ave Ste D

    Warrensburg, MO 640939601

    Phone: (816) 333-9200

    Type: Location

  • 603 E GAINES DR.

    CLINTON, MO 64735

    Phone: (660) 890-8715

    Fax: (660) 890-8485

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-12-15 • Largest payer in this snapshot: B. Braun Interventional Systems Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181220000370INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes13141$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes12647$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11637$0
View full utilization report →

Insurance plans in this area (ZIP 64725)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688561814View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Family PracticeMO
Internal MedicineMO
Emergency MedicineGA
-MO
-MO
Family PracticeMO
Nurse PractitionerKS

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. JAMIE LEIGH MOORE (AGNP)?
NPI 1255808655 is assigned to MRS. JAMIE LEIGH MOORE (AGNP) under the national enumeration system.
Is MRS. JAMIE LEIGH MOORE (AGNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. JAMIE LEIGH MOORE (AGNP)'s specialty in plain language?
Clinically, the directory lists MRS. JAMIE LEIGH MOORE (AGNP) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. JAMIE LEIGH MOORE (AGNP) practice in Missouri?
You will see Archie, Missouri on file for MRS. JAMIE LEIGH MOORE (AGNP) alongside any extra practice locations.
Is MRS. JAMIE LEIGH MOORE (AGNP) a real provider?
This page reflects official NPPES data for NPI 1255808655. Always confirm identity and privileges with the practice and licensing boards.

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