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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598341141

Nicholas Ryan Moore is a Physician Assistant in Lancaster, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Lancaster General Hospital, a 518-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
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Practice location Address checks out

555 N Duke St
Lancaster, PA 17602-2207
Phone: (717) 544-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1598341141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address801 Belmont Ct, Chester Springs, PA 19425-2910

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 Lancaster General Hospital — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lancaster