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

Samantha Moore

Individual provider Gerontology Nurse Practitioner · NPI 1295626406

Samantha Moore is a Nurse Practitioner in Oak Park, Illinois. Graduated from Rush Medical College of Rush University in 2024, 2 years ago. Practices with Cimpar SC, a 36-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2025

Practice location Address checks out

101 Madison St
Oak Park, IL 60302-4278
Phone: (708) 486-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209-032478 (IL)

Record details

NPI number1295626406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address1655 Highland Blvd, Hoffman Estates, IL 60169

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2024 (2 years in practice)
Group practice Cimpar Sc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oak Park