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

Mrs. Kelly Marie Moore, APRN, NP

Individual provider Adult Health Nurse Practitioner · NPI 1629632229

Mrs. Kelly Marie Moore, APRN, NP is a Nurse Practitioner in Muskogee, Oklahoma. Qualified in 2018, 8 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
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

550 W Shawnee St
Muskogee, OK 74401-4144
Phone: (918) 935-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 109418 (OK)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence R0109418 (OK)

Record details

NPI number1629632229
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , NP
Sole proprietorYes
NPI enumeratedApril 29, 2019
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Williams Medical Group Practice, Llc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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