Nathaniel Moore, PA
NPI 1124406178 · Physician Assistant · Burlington, VT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nathaniel Moore, PA is a Physician Assistant provider in Burlington, VT (NPI 1124406178).
Provider details
- NPI number
- 1124406178
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 055.0031256 (VT)
Specialties & taxonomies
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
- 2015-06-08
Frequently asked questions
- What is Nathaniel Moore's NPI number?
- Nathaniel Moore's National Provider Identifier (NPI) is 1124406178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nathaniel Moore's specialty?
- Nathaniel Moore is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nathaniel Moore located?
- Nathaniel Moore's practice location on file with NPPES is 111 Colchester Ave., Burlington, VT 05401-1473.
- What is Nathaniel Moore's phone number?
- The practice phone number listed in the NPPES registry for Nathaniel Moore is (802) 847-2434.
- Does Nathaniel Moore accept Medicare?
- Nathaniel Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nathaniel Moore's NPI active?
- Yes — Nathaniel Moore's NPI (1124406178) is active in the NPPES registry as of the last update on 2015-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.