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

Tyler Herchell Moore, NP

Individual provider Family Nurse Practitioner · NPI 1801532106

Tyler Herchell Moore, NP is a Nurse Practitioner in Rexburg, Idaho. Qualified in 2022, 4 years ago. Practices with Madison Co Memorial Hospital, a 34-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
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

37 S 2nd E Ste 101
Rexburg, ID 83440-1906
Phone: (208) 356-0234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 72632 (ID)

Record details

NPI number1801532106
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 10, 2022
Last updated in NPPESMay 10, 2022
Certification dateApril 19, 2022
Mailing address37 S 2nd E, Rexburg, ID 83440-1906

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Madison Co Memorial Hospital — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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