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

Rosalie Moore, NP

Individual provider Gerontology Nurse Practitioner · NPI 1104355379

Rosalie Moore, NP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
What do these letters mean?
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

2240 E 53rd St # B-1
Indianapolis, IN 46220-3479
Phone: (317) 653-2730
Fax: (317) 321-1935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 28027184A (IN)

Record details

NPI number1104355379
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 9, 2017
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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