Anne Marie Moore - WHNP - BC

11/18/2025

🩺 Medicare Enrollment Update — Documented Timeline & How Patients Can File a Complaint

I’m posting this for transparency, because at this point the situation is affecting my patients and my ability to bill Medicare for their visits.

I originally submitted my Medicare provider enrollment on August 26th. Since then, I have left over 20 messages for my assigned provider rep. In each message, I gave my personal cell phone number, and clearly stated that this was the correct way to reach me.

Despite that, my rep never returned a single call to my cell, but instead called my office message line twice, even though I repeatedly provided the correct number.

Here are the documented call attempts I made between October 7th and November 11th, all unanswered:

10/10: 12:48 PM, 1:14 PM
10/15: 9:15 AM
10/16: 10:19 AM, 1:45 PM
10/17: 8:46 AM
10/20: 8:50 AM
10/21: 8:34 AM
10/22: 8:41 AM
10/23: 8:29 AM, 8:30 AM
10/24: 12:18 PM
10/31: 8:33 AM
11/3: 9:07 AM
11/5: 8:30 AM
11/11: 7:11 AM, 11:07 AM, 1:30 PM, 3:08 PM, 4:01 PM

I also sent a fax on November 3rd, with no follow-up.

A Medicare representative finally updated my contact and banking information, but my assigned rep vetoed the update, and I was told I must start my entire enrollment over again. Which I did on 11/16/25.

At this point, the pattern feels passive-aggressive and obstructive, and it has resulted in:

• Delayed enrollment
• Approximately $2,000 in unpaid Medicare claims
• Patients unable to use their Medicare benefits with me

I can still see Medicare patients — but claims cannot be submitted until Medicare processes my new application.

⭐ If you’ve been affected, here is the simplest way to file a complaint:

📞 CALL: 1-877-908-8431
(Noridian Healthcare Solutions — Medicare’s contractor for Oregon)

You can say:

“I want to file a complaint because my provider’s Medicare enrollment has been delayed for months and the assigned representative has not returned calls or used the correct contact number.”

Patient complaints actually move these cases faster.

Thank you all for your patience and support while I continue working to get this resolved. 💛

11/18/2025

10/28/2025

Q: "I keep forgetting things. Do I have early dementia?

You’re not losing your mind. Your brain is basically trying to juggle too many flaming torches while also paying bills, taking care of people, cleaning the house, cooking the meals, etc. Stress and preoccupation can absolutely kneecap memory.

Here’s the brain science in a nutshell:

When your stress response is ON too much, the hippocampus (your memory librarian) gets overwhelmed. It’s like “I can’t file this right now, I’m busy trying to keep us alive.”
Anxiety means your attention keeps wandering into future-disaster scenarios instead of storing the details happening right now.
Sleep gets funky when you’re stressed, and memory consolidation mostly happens when you’re knocked out drooling on the pillow.

So forgetting things becomes less “I must be broken” and more “my cognitive bandwidth is tapped, please insert more quarters.”

A couple small shifts that help when life is busy:

Make the outside world do some remembering for you.
Sticky notes, reminders on your phone, repeating calendar events, whiteboard in the kitchen. It’s not cheating. It’s outsourcing.

Use tiny focus bursts
Set a 10–20 minute timer, do one task, finish it, sigh dramatically as if you’ve climbed Everest.

One inbox for the chaos
Instead of random scraps of info everywhere, capture everything in one app or notebook. Sort it later when your brain isn’t doing a circus act.

Treat sleep like a prescription
No sleep = no memory glue. Even one solid night helps.

Give yourself a break
You’ve been carrying a lot. Forgetting isn’t failure. It’s a signal from your brain that it needs a little kindness and structure.

07/24/2025

"Each one of us has lived through some devastation, some loneliness, some weather superstorm or spiritual superstorm, when we look at each other we must say, I understand. I understand how you feel because I have been there myself. We must support each other and empathize with each other because each of us is more alike than we are unalike."

07/23/2025

Feeling Stressed or Anxious? You're Not Alone — and There Are Ways to Feel Better. 💛

Stress and anxiety are common, but they don’t have to run the show. Whether it’s the weight of responsibilities, health concerns, or just the constant “go-go-go” of life, your nervous system needs support too.

Here are some of my favorite, evidence-based strategies to help manage stress and anxiety — both in the moment and over the long haul:

Quick Calm Techniques
– Try 4-7-8 breathing: Inhale for 4, hold for 7, exhale for 8
– Use the 5-4-3-2-1 grounding tool to reconnect with the present
– Move your body, even if it’s just a 10-minute walk
– Practice progressive muscle relaxation from head to toe

Daily Habits That Make a Difference
– Exercise regularly (whatever you enjoy)
– Prioritize sleep and create a calming bedtime routine
– Eat well: limit sugar, alcohol, and caffeine
– Meditate or use mindfulness apps like Headspace or Insight Timer
– Journal to clear mental clutter or express gratitude
– Set healthy boundaries with screen time and social media

When to Reach Out
Sometimes talking with a professional—whether for counseling, support groups, or medication—is the most empowering next step. You don’t have to “just deal with it.”

Your mental health is part of your overall health. If you’re feeling overwhelmed, I’m here to help you create a personalized, compassionate plan that works with your life.

📞 Call or text my office if you’d like to talk more about how to care for your emotional wellness: 541-238-2905

You're not weak for feeling anxious. You're human. 💚

07/11/2025

Creatine is no longer just a performance-enhancing compound for skeletal muscle. It also plays a critical role in brain energy metabolism.

In a recent clinical study, Alzheimer’s patients supplementing with 20g/day of creatine experienced:

An 11% increase in brain creatine levels

~5% improvement in cognitive performance

Measurable gains in memory, focus, and processing speed

Creatine supports ATP regeneration in neurons, which may be especially relevant in aging and neurodegenerative conditions where brain energy deficits are common.

This research marks a major step in repositioning creatine as a neuroprotective compound and a potential intervention for cognitive decline. Dr. Ryan Lowry

07/05/2025

People keep asking why I made these cookies. The short answer is, "To make you ask questions." The long answer is more complicated. Im not going to list every reason, but here are some big ones.

♡ theres a lot of shame and secrecy around menstruation, that shame and secrecy keeps people from understanding how their bodies work, understanding how pregnancy happens, and protects abusers.

♡ politicians and judiciaries want to regulate womens bodies and constantly work to remove access to health care under the guise of being pro-life when really what they are is pro-birth and pro-control.

♡ Christianity often teaches abstinence instead of educating kids about their bodies, leading to gaps in communication and education that directly cause unwanted pregnancy, sexually transmitted STDs, and a lack of empowerment and agency. In that gap, consent drowns and coercion blossoms.

♡ religion taught me thay anyone who bled was "unclean" and tied the idea of sin to my identity as a woman. That ick factor came out in force in my decorating reels with vomit emojis and pearl clutching middle aged women asking, "Why, just why??"

♡ there is a huge disparity between research on erectile dysfunction & perimenopause, links between adhd & PMDD, hormonal imbalances, endometriosis, and so many other things as they relate to AFAB people. This disparity leads to inadequate care, misdiagnosis, and even death.

♡ the more we normalize periods, menstruation, etc, the more educated our children will be, and the more empowered they will grow to become.

And finally, as I enter my 40s after having been in perimenopause for a good 7 years, Ive come to learn that the field of gynecology is lightyears behind where they should be. There are very few providers who are up to date on what perimenopause actually looks like, how early it can begin, how it can affect mental health on a neurotransmitter level, how a drop in estrogen affects neurodivergent differently than neurotypical people, and how any fluctuations, reports of pain or inconsistent periods can be chalked up to being fat, lead to misdiagnosis of PCOS, and a general lack of care when it comes to improving the lives of people who are suffering.

When I went in for my tubal ligation and discussed my reasons, I was worried I would be denied because I was only 35. When the GYN asked me why I wanted a ligation I told him honestly and directly, "If I get pregnant again I will kill myself." Sounds dramatic, and it was. I knew a second pregnancy would be devastating to my physically, financially, and emotionally but I went through with it any way and was the most unwell I had ever been in the first 5 years post partum. I was suicidal, I started drinking in the evening to keep myself from getting onto my car and driving off a bridge or jumping into the ocean. A third pregnancy would have robbed my children of their mother, I'm positive. Roe V. Wade being overturned means that that reality will be someone elses reality because of being unable to access abortion care. If even one person goes through that because they're forced to carry a pregnancy they dont want, its too many.

That GYN dismissed my concerns about perimenopause and hormonal imbalances and diagnosed me with PCOS. He confidently and arrogantly told me he'd confirm it during my surgery. He sent me home and told me to read up on it because I would need to manage it with diet and livestyle changes. Spoiler alert, I did not have PCOS and in trying to understand what was happening with my body I had already read up on PCOS and what little could be found about perimenopause. I had religiously documented my symptoms for two years before that appointment but none of that mattered. Its shameful that a GYN, the person meant to handle these exact issues completely abdicated his job, misdiagnosed me, and withheld proper treatment. Yes, I am still raw do***ng perimenopause in case you were wondering. 😆

To the people who were rude and demanded to know why I would make these cookies, I just want to say that that reaction specifically is why. If you dont already get it, what a privilege for you.

07/04/2025

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06/28/2025

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06/28/2025

🎂✨ It’s my birthday today! 🎉
Grateful for another year of serving women in our community with care, compassion, and a whole lotta estrogen support. 😄

If you’ve been meaning to schedule your annual exam, talk menopause, hormones, pelvic floor issues — or just want a provider who actually listens — I’m here. 💕

Here’s to strong women, better sleep, balanced hormones, and never skipping your self-care. 🩺💃

📞 Call, message, or book online — and help me celebrate by taking care of you.

🎉

06/05/2025

Ferritin, your body's iron storage, is crucial for producing thyroid hormones like T3 and T4. When ferritin levels dip too low, it can disrupt how well your thyroid functions—even if your thyroid labs look “normal.”

Here’s the kicker: Functional medicine aims for optimal ferritin levels of 70-110 ng/mL, far beyond the standard reference range. Staying in this range could be the game-changer you need for better energy, mental clarity, and overall health.

Here are some practical ways to optimize ferritin for thyroid health:
Check your labs: Make sure ferritin is included alongside TSH, Free T3, and Free T4.
Address deficiencies: Incorporate more iron-rich foods like red meat or spinach, and combine them with vitamin C to maximize absorption.
Consider supplements: A gentle, bioavailable iron supplement can help tackle significant deficiencies without upsetting your stomach.
Don’t ignore vitamin D: Low levels often go hand-in-hand with ferritin issues, so aim for 60+ ng/mL to support thyroid and overall health.

Want to learn more? Check out Elite NP latest blog!

Learn how optimizing ferritin for thyroid patients can enhance energy levels and improve overall health outcomes.