NPPES file of Aug 9, 2026

Kelly Moore, NP

Psychiatric/Mental Health Nurse Practitioner · Boise, ID

Kelly Moore, NP is a psychiatric/mental health nurse practitioner with a practice address in Boise, Idaho, and NPI 1104303072, issued on Jul 24, 2018. Check the license (Idaho 59308, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104303072
Name
Kelly Moore
Credential
NP
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
59308 ID
Self-reported in NPPES; status is on the state search
Practice location
703 S Americana Blvd Ste 150, Boise, ID 83702
Phone
(208) 706-6375
Enumerated
Jul 24, 2018
Record last updated
Mar 21, 2023
Medicare enrollment
Enrolled (PECOS I20181008001377); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 703 S Americana Blvd Ste 150

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nikki Cavalero, LPCCounselor1871336131
  2. Sandra Collantes, LPCMental Health Counselor1730877135
  3. Nathan Ellis, LCPCMental Health Counselor1154609998
  4. Travis Emerizy, LMSWClinical Social Worker1902430028
  5. Jeralyn Jones, M.D.Psychiatry Physician1891731451
  6. Matthew Lindley, M.S.W.Social Worker1205914694

Verify Kelly Moore in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license 59308
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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6% fewer Medicare Part D claims than the average psychiatric/mental health nurse practitioner in 2024

852 Medicare Part D claims for 125 beneficiaries, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims.

  1. Kelly Moore852
  2. Specialty average906

Most prescribed

  1. Trazodone Hcl83 claims
  2. Sertraline Hcl48 claims
  3. Lamotrigine47 claims
  4. Duloxetine Hcl44 claims
  5. Prazosin Hcl35 claims
  6. Bupropion Xl34 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 83.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score79.5
  2. Costout of 100 · 30%64.9
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. St Lukes Clinic-Treasure Valley LLCBoise, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kelly Moore among 307 psychiatric/mental health nurse practitioner records in Idaho

Kelly Moore, NP is one of 307 psychiatric/mental health nurse practitioner records with a practice address in Idaho. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 33% of them.

  • NPI issued2018 · 33% of these records are older, 63% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2018 · median 2021 among the 202 with a school on file
  • Record last updated2023 · 20% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Nurse Practitioner providers in Idaho

There are 307 psychiatric/mental health nurse practitioner records in Idaho.

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Susan Day, MSN APRN PMHNP-BCBoise, ID 837021134733694
  2. Krystal Demoney-Hendrickson, PMHNP-BCBoise, ID 837021528653839
  3. Christopher GakwaBoise, ID 837021205355831
  4. Margaret Johnson, MSN, APRN, PMHNP-BCBoise, ID 837021073698692
  5. Stephen Martin, FNP-C, PMHNP-BCBoise, ID 837021518492479
  6. Lindsay Nance, PMNHNP-BC, APRNBoise, ID 837021811779978
  7. Jensen PhillipsBoise, ID 837021619433703
  8. Heidi Ritchie, NP-CBoise, ID 837021770631129

Common questions

What is Kelly Moore, NP's NPI number?

Kelly Moore, NP's National Provider Identifier (NPI) is 1104303072, issued on Jul 24, 2018. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Moore, NP located?

The NPPES record lists a practice address at 703 S Americana Blvd Ste 150, Boise, ID, 83702. Phone: (208) 706-6375. Providers update this record themselves, so call before visiting.

How can I verify Kelly Moore, NP's license?

NPPES lists Idaho license number 59308, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

How much does Kelly Moore, NP prescribe under Medicare Part D?

In 2024, Kelly Moore, NP had 852 Medicare Part D claims for 125 beneficiaries; the average among psychiatric/mental health nurse practitioner prescribers was 906. Part D covers Medicare prescriptions only.

What is Kelly Moore, NP's MIPS final score?

The 2023 MIPS final score is 83.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.