Shannen Moore
NPI 1083092977 · Pediatric Nurse Practitioner · Boston, MA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannen Moore is a Pediatric Nurse Practitioner provider in Boston, MA (NPI 1083092977).
Provider details
- NPI number
- 1083092977
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 701502 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Shannen Moore's NPI number?
- Shannen Moore's National Provider Identifier (NPI) is 1083092977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannen Moore's specialty?
- Shannen Moore is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannen Moore located?
- Shannen Moore's practice location on file with NPPES is 8 Waterman Rd, Boston, MA 02131-2218.
- What is Shannen Moore's phone number?
- The practice phone number listed in the NPPES registry for Shannen Moore is (857) 345-0003.
- Does Shannen Moore accept Medicare?
- Shannen Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannen Moore's NPI active?
- Yes — Shannen Moore's NPI (1083092977) is active in the NPPES registry as of the last update on 2026-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.