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

Kelsey Jo Moore, NP

Individual provider Adult Health Nurse Practitioner · NPI 1104220086

Kelsey Jo Moore, NP is a Nurse Practitioner in Muncie, Indiana. Qualified in 2014, 12 years ago. Practices with Henry County Memorial Hospital, a 152-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3631 N Morrison Rd
Muncie, IN 47304-5547
Phone: (765) 213-6304
Fax: (765) 213-6304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 349 W 1st St, Albany, IN 47320-1705 — (765) 780-9850

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71005216A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 28189740A (IN)

Record details

NPI number1104220086
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 21, 2014
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Henry County Memorial Hospital — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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