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

Thomas Moore, PMHNP-BC

Individual provider Registered Nurse · NPI 1538598487

Thomas Moore, PMHNP-BC is a Nurse Practitioner in Eugene, Oregon. Qualified in 2014, 12 years ago. Practices with Amber Benson PMHNP PC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Oregon and Washington.

Years since qualifying
12
Licensed in
IL, OR, WA
In the registry since
2013
Specialties on file
6
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

66 Club Rd Ste 140
Eugene, OR 97401-2491
Phone: (541) 345-1722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 — (564) 225-2302

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202002776NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence RN61231272 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 202002591RN (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 041393235 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61231376 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209017885 (IL)

Record details

NPI number1538598487
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedNovember 1, 2013
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Amber Benson Pmhnp Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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