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TESSA ELIZABETH MOORE MD
NPI 1003565177
Family Medicine in Chewelah, WA

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
100 W SOUTH AVE, CHEWELAH, WA 99109(509) 935-8111(509) 935-0970 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, May 16, 2023 (2 updates tracked since 2023).

About Tessa Elizabeth Moore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TESSA ELIZABETH MOORE MD (NPI 1003565177) is an individual family medicine provider in Chewelah, Washington, licensed in Washington (MD61583267) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Providence St Joseph Hospital, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1003565177
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTESSA ELIZABETH MOORECredential: MD
Location Address100 W SOUTH AVEChewelah, WA 99109-9684
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (866) 747-2455
Phone(509) 935-8111
Fax(509) 935-0970
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1003565177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD61583267
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 W SOUTH AVE, Chewelah, WA 99109
Open in Google Maps ↗

Secondary Practice Location 1

Location 1331 NE Thornton PlSeattle, WA 98125-8021 · Phone (206) 528-8000 · Fax (206) 520-2399

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tessa Elizabeth Moore Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153718846
PECOS Enrollment IDI20250822002299
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Joseph Hospital

Critical Access Hospitals · Chewelah, WA
OwnershipVoluntary non-profit - Church
CMS Certification Number501309
Location500 East WebsterChewelah, WA 99109 · Stevens County
Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CALEB CHRISTMAN HOLTZER M.D.
Family Medicine
100 W SOUTH AVE
CHEWELAH, WA 99109
Stevens County (509) 935-8111
PROVIDENCE HEALTH & SERVICES WASHINGTON
Clinic/Center (Rural Health)
100 W SOUTH AVE
CHEWELAH, WA 99109
Stevens County (509) 935-8111
MELANIE SUZANNE BARNES MD
Family Medicine
100 W SOUTH AVE
CHEWELAH, WA 99109
Stevens County (509) 935-8111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tessa Moore's NPI number?

The NPI number for Tessa Moore is 1003565177. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Tessa Moore located?

Tessa Moore practices at 100 W South Ave, Chewelah, WA 99109. The listed phone number is (509) 935-8111.

What is Tessa Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tessa Moore enrolled in Medicare?

Yes. Tessa Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tessa Moore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tessa Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tessa Moore affiliated with any hospitals?

According to CMS data, Tessa Moore is affiliated with Providence St Joseph Hospital and Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Tessa Moore was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.