Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantz Moore, APRN-CNP

Individual provider Nurse Practitioner · NPI 1215615869

Chantz Moore, APRN-CNP is a Nurse Practitioner in Longview, Texas. Qualified in 2022, 4 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

700 E Marshall Ave
Longview, TX 75601-5580
Phone: (903) 315-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 E Marshall Ave, Longview, TX 75601-5545 — (903) 315-4880

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1123730 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1123730 (TX)

Record details

NPI number1215615869
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Longview