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

Melody Ann Moore, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1013757020

Melody Ann Moore, AGACNP is a Nurse Practitioner in Inglewood, California. Qualified in 2023, 3 years ago. Practices with Willow Brook Critical Care Medical Group Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

501 E Hardy St Ste 160
Inglewood, CA 90301-4033
Phone: (310) 295-0075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95030265 (CA)

Record details

NPI number1013757020
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedMay 28, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address35 Clubhouse Ave Apt H, Venice, CA 90291-3232

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Willow Brook Critical Care Medical Group Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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