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Amanda Leeann Moore , GED

Peer Specialist • Wagoner, OK

Active NPI 1649056136 Individual Practitioner Female Practitioner
Practice location in NPPES

215 Ne 1st St
Wagoner, OK 744674439

Call 9182014333 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

215 Ne 1st St

Wagoner, OK 744674439

Telephone 9182014333

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wagoner and Oklahoma

41 active clinicians are listed under Peer Specialist with a practice address in Wagoner, OK (5,217 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wagoner

0% of these 41 clinicians have the CMS telehealth indicator.

0% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-31
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History

NPI enumerated August 31, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2023 to August 2026.

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NPI Administrative Meta

NPI Number: 1649056136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2023
Last Update: August 31, 2023
Sole Proprietor: Yes

Mailing Address

605 N Polk Ave

Wagoner, OK 744672713

Phone: 9182842513

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.