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

Individual provider Physician Assistant · NPI 1558738237

Christina L Moore, PA is a Physician Assistant in O Fallon, Illinois. Qualified in 2015, 11 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

310 N 7 Hills Rd Ste 220
O Fallon, IL 62269-4111
Phone: (314) 448-3791
Fax: (314) 996-7658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4600 Memorial Dr Ste 400, Belleville, IL 62226-5366 — (618) 235-0460

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005558 (IL)

Record details

NPI number1558738237
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in O Fallon