MRS. ANNE MARIE MOORE (PA-C) – Physician Assistant, NPI 1023043395

MRS. ANNE MARIE MOORE (PA-C) is a healthcare provider. based in Lincoln, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 977 (NE). The NPI Number for MRS. ANNE MARIE MOORE (PA-C) is 1023043395

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANNE MARIE MOORE (PA-C)
NPI
1023043395
Phone
(402) 423-4218
Address
4720 W HUNTINGTON AVE
Enumeration Date
12 July 2006
Last Update Date
3 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024816343
Graduation Year
2001 (25 years ago)
PAC ID
8921102245
Group Practice PAC ID
7315915873
Professional Enrollment ID
I20070327000154
Address ID
NE685124802LI7501XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for MRS. ANNE MARIE MOORE (PA-C)

  • 4720, West Huntington Avenue, Ashley Heights Commercial Center, Lincoln, Lancaster County, Nebraska, 68524, United States

    LINCOLN, NE 685241528

    Phone: (402) 423-4218

    Fax: (402) 423-4201

    Type: Mailing

  • 4720 W HUNTINGTON AVE STE J

    LINCOLN, NE 685241528

    Phone: (402) 470-6055

    Fax: (402) 470-6056

    Type: Location

  • South 86th Street, Lincoln, Lancaster County, Nebraska, 68461, United States

    LINCOLN, NE 685269227

    Phone: (402) 483-7507

    Fax: (402) 483-6899

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-03-27

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
I20070327000154IPhysician AssistantNETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes318287$0
99203New patient office or other outpatient visit, 30-44 minutes117117$0
81003Automated urinalysis test6966$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus5149$0
87804Detection test by immunoassay with direct visual observation for influenza virus4223$0
View full utilization report →

Insurance plans in this area (ZIP 68524)

Loading plans...

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: 7315915873View full group profile
NameSpecialtyState
Physician AssistantNE
Physician AssistantNE
Nurse PractitionerNE
General SurgeryNE
Nurse PractitionerNE
Physician AssistantNE
-NE
Physician AssistantNE
Physician AssistantMN
Nurse PractitionerNE

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm MRS. ANNE MARIE MOORE (PA-C)'s NPI?
Yes. MRS. ANNE MARIE MOORE (PA-C) is listed with NPI 1023043395 in the public NPI dataset.
Does the file indicate MRS. ANNE MARIE MOORE (PA-C) is practicing under active NPI?
Directory data currently reports MRS. ANNE MARIE MOORE (PA-C) as active.
What is MRS. ANNE MARIE MOORE (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MRS. ANNE MARIE MOORE (PA-C) here. Clinical services aligned with this taxonomy classification.
Does MRS. ANNE MARIE MOORE (PA-C) list a practice location?
Patients near Lincoln, Nebraska may find MRS. ANNE MARIE MOORE (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

WANDA L WYNN (PA)

Physician Assistant
Urgent Care Clinic of Lincoln, P.C., 4210, Pioneer Woods Drive, Pioneer Woods, Lincoln, Lancaster County, Nebraska, 68506, United States
NPI: 1093719650

JACKLYNN A KMENT (PA-C)

Physician Assistant
South 70th Street, Lincoln, Lancaster County, Nebraska, 68516, United States
NPI: 1003813767

MICHELLE R SITZMAN (PA)

Medical Physician Assistant
Lincoln / West Market, Lincoln Avenue, Salinas, Monterey County, California, 93901, United States
NPI: 1568469419
6825, South 27th Street, Ridge Pointe, The Ridge, Lincoln, Lancaster County, Nebraska, 68512, United States
NPI: 1275528200

LISA M JOHNSON (PA-C)

Physician Assistant
304 E DOUGLAS ST
NPI: 1619963709
4545, R Street, Lincoln, Lancaster County, Nebraska, 68503, United States
NPI: 1003899949

MICHELLE TYSER (PA)

Physician Assistant
2222, South 16th Street, Lincoln Village, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
NPI: 1083698518

BRADLEY A RIEF (PA-C)

Physician Assistant
575, South 70th Street, Lincoln, Lancaster County, Nebraska, 68510, United States
NPI: 1962486670

AMY A THOMPSON

Physician Assistant
22nd Avenue, Kearney, Buffalo County, Nebraska, 68849, United States
NPI: 1477530343