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.

07/23/2025

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