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

Stephanie T Moore, PA-C

Individual provider Medical Physician Assistant · NPI 1356082390

Stephanie T Moore, PA-C is a Physician Assistant in Nicholasville, Kentucky. Graduated from University of Kentucky College of Medicine in 2022, 4 years ago. Practices with University of Kentucky, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

110 Village Pkwy
Nicholasville, KY 40356-2327
Phone: (859) 887-8400
Fax: (859) 885-8448
Show map & directions

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

Additional practice locations (1)

  • 245 Fountain Ct Ste 120, Lexington, KY 40509-2792 — (859) 218-2626

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3105 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA3105 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3105 (KY)

Record details

NPI number1356082390
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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