Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Benjamin J Moore, PA-C

Individual provider Physician Assistant · NPI 1447887096

Mr. Benjamin J Moore, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2020, 6 years ago. Practices with All Care Health Center, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
6
Licensed in
NE
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4920 S 30th St Ste 103
Omaha, NE 68107-1656
Phone: (402) 734-4110
Fax: (402) 734-3990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1315 S 9th St # 219, Omaha, NE 68108-3678 — (515) 271-1569

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2508 (NE)

Record details

NPI number1447887096
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice All Care Health Center — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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