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

Melissa Rose Moore, CNM, CNP, PMHNP-BC

Individual provider Registered Nurse · NPI 1619392172

Melissa Rose Moore, CNM, CNP, PMHNP-BC is a Nurse Practitioner in Albuquerque, New Mexico. Graduated from University of Michigan Medical School in 2013, 13 years ago. Practices with Elemental Health and Wellness Center LLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New Mexico.

Years since qualifying
13
Trained at
University of Michigan Medical School
Licensed in
MI, NM
In the registry since
2014
Specialties on file
4
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1111 11th St NW
Albuquerque, NM 87104-2105
Phone: (810) 923-6043
Fax: (505) 727-4505
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 77534 (NM)
Registered Nurse Taxonomy 163W00000X · Licence RN-78727 (NM)
Registered Nurse Taxonomy 163W00000X · Licence 4704257647 (MI)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 670 (NM)

Record details

NPI number1619392172
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM , CNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 20, 2014
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Elemental Health And Wellness Center Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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