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

Joanna Leigh Moore, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1326686395

Joanna Leigh Moore, FNP-BC is a Nurse Practitioner in Peru, Indiana. Qualified in 2019, 7 years ago. Practices with Indiana Health Centers Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

661 E Main St
Peru, IN 46970-2662
Phone: (765) 472-2519
Fax: (765) 400-4465
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009786A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28164395A (IN)

Record details

NPI number1326686395
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedDecember 20, 2019
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Indiana Health Centers Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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