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

Mr. Daniel Lee Moore Jr., ANP-BC

Individual provider Nurse Practitioner · NPI 1629388293

Mr. Daniel Lee Moore Jr., ANP-BC is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2010, 16 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

55 Fruit Street Diabetes
Boston, MA 02114
Phone: (617) 726-8722
Fax: (617) 724-8534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2258946 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2258946 (MA)

Record details

NPI number1629388293
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedOctober 18, 2010
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Boston