JEANNE MOORE (NP) – Family Nurse Practitioner, NPI 1073500658

JEANNE MOORE (NP) is a healthcare provider. based in Woodbridge, Virginia. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. R 152237-0 (MN). The NPI Number for JEANNE MOORE (NP) is 1073500658

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JEANNE MOORE (NP)
NPI
1073500658
Phone
(703) 494-4961
Address
2200 TACKETTS MILL DR
Enumeration Date
29 September 2005
Last Update Date
16 September 2009

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
8663892727
Graduation Year
2000 (26 years ago)
PAC ID
1759348121
Group Practice PAC ID
6709960891
Professional Enrollment ID
I20091104000557
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for JEANNE MOORE (NP)

  • 2200 TACKETTS MILL DR

    WOODBRIDGE

    WOODBRIDGE, VA 221923012

    Phone: (703) 494-4961

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22192)

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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: 6709960891View full group profile

Reviews

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Frequently asked questions

What is JEANNE MOORE (NP)'s NPI number?
JEANNE MOORE (NP)'s NPI is 1073500658 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JEANNE MOORE (NP)?
For scheduling context, JEANNE MOORE (NP) is shown as active in the registry.
What clinical focus is listed for JEANNE MOORE (NP)?
At a glance, JEANNE MOORE (NP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JEANNE MOORE (NP) associated with Woodbridge?
Public fields place JEANNE MOORE (NP) around Woodbridge, Virginia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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