Amanda Marie Moore, PA-C
Physician Assistant in Millsboro, DE. Individual provider (NPI-1).
NPI number1033435656
StatusActive
Last updated in NPPESOct 2, 2025
Details
- NPI
- 1033435656
- Entity type
- Individual (NPI-1)
- Name
- Amanda Marie Moore
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2010
- Certification date
- Oct 2, 2025
- Last updated
- Oct 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C5-0000701 | DE | Yes |
Practice location
30265 Commerce Dr Unit 104Millsboro, DE 19966-3594
Phone 302-629-4787 · Fax 410-860-9583
Mailing address
Po Box 69709Baltimore, MD 21264-9709
Phone 410-860-9583
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