Tanisha Moore
NPI 1558069542 · Physician Assistant · Wilmette, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tanisha Moore is a Physician Assistant provider in Wilmette, IL (NPI 1558069542).
Provider details
- NPI number
- 1558069542
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 085-009934 (IL)
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
3 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
- 2023-02-20
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Frequently asked questions
- What is Tanisha Moore's NPI number?
- Tanisha Moore's National Provider Identifier (NPI) is 1558069542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tanisha Moore's specialty?
- Tanisha Moore is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tanisha Moore located?
- Tanisha Moore's practice location on file with NPPES is 311a Ridge Rd Apt 113, Wilmette, IL 60091-3256.
- What is Tanisha Moore's phone number?
- The practice phone number listed in the NPPES registry for Tanisha Moore is (267) 505-6106.
- Does Tanisha Moore accept Medicare?
- Tanisha Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tanisha Moore's NPI active?
- Yes — Tanisha Moore's NPI (1558069542) is active in the NPPES registry as of the last update on 2024-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.