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

Hannah Grace Moore

Individual provider Family Nurse Practitioner · NPI 1659081297

Hannah Grace Moore is a Nurse Practitioner in Fulton, New York. Graduated from State University of Ny Upstate Medical University in 2022, 4 years ago. Practices with Physician Care PC, a 77-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

806 W Broadway
Fulton, NY 13069-1571
Phone: (315) 297-4700
Fax: (315) 218-5898
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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 350677 (NY)

Record details

NPI number1659081297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address100 Metropolitan Park Dr Ste 100, Liverpool, NY 13088-7112

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice Physician Care Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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