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

Charles K Moore, FNP

Individual provider Nurse Practitioner · NPI 1447227285

Charles K Moore, FNP is a Nurse Practitioner in Huntington, West Virginia. Qualified in 2004, 22 years ago. Practices with St Mary's Medical Management, LLC, a 91-clinician group and accepts Medicare assignment. Licensed in Kentucky and West Virginia.

Years since qualifying
22
Licensed in
KY, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2828 1st Ave Ste 510
Huntington, WV 25702-1236
Phone: (304) 399-7533
Fax: (304) 399-7507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 50644 (WV)
Nurse Practitioner Taxonomy 363L00000X · Licence 4411P (KY)

Record details

NPI number1447227285
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice St. Mary'S Medical Management, Llc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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