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

Nikki Moore

Individual provider Family Nurse Practitioner · NPI 1043785512

Nikki Moore is a Nurse Practitioner in Boardman, Ohio. Qualified in 2018, 8 years ago. Practices with Triad Health Services LLC, a 253-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

901 Trailwood Dr
Boardman, OH 44512-5008
Phone: (234) 287-6544
Fax: (330) 259-9721
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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 APRN.CNP.023742 (OH)

Record details

NPI number1043785512
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2018
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address901 Trailwood Dr, Boardman, OH 44512-5008

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 Triad Health Services Llc — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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