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

Jeffrey Moore, RN

Individual provider General Practice Registered Nurse · NPI 1205415205

Jeffrey Moore, RN is a Nurse Practitioner in Pahrump, Nevada. Qualified in 2022, 4 years ago. Practices with Eds-I Homansky Practices of Nevada PC, a 5-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1470 E Calvada Blvd
Pahrump, NV 89048-3905
Phone: (775) 210-8333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence RN96780 (NV)

Record details

NPI number1205415205
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 6, 2021
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021
Mailing address1470 E Calvada Blvd Ste 100, Pahrump, NV 89048-3906

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 Eds-I Homansky Practices Of Nevada Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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