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

Susan M Moore, APRN

Individual provider Nurse Practitioner · NPI 1245348267

Susan M Moore, APRN is a Nurse Practitioner in Ottawa, Kansas. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
20
Licensed in
KS
In the registry since
2006
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1418 S Main St Ste 1
Ottawa, KS 66067-3544
Phone: (785) 229-3561
Fax: (785) 229-3529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 45833 (KS)
Nurse Practitioner Taxonomy 363L00000X · Licence 45833 (KS)

Record details

NPI number1245348267
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address1418 S Main St Ste 1, Ottawa, KS 66067-3544

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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