TESSA ELIZABETH MOORE MD
NPI 1003565177
Family Medicine in Chewelah, WA
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 Prov Sacred Hrt Med Ctr & Childs Hosp., and maintains a secondary practice location in Seattle.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tessa Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chewelah, WA 99109
- Reassigned Medicare billing, Washington enrollment
- 862 clinicians in this Medicare group
Colville, WA 99114
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1003067679 (Washington)
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prov Sacred Hrt Med Ctr & Childs Hosp.
Acute Care Hospitals · Spokane, WAProvidence St Joseph Hospital
Critical Access Hospitals · Chewelah, WAProvidence Mount Carmel Hospital
Critical Access Hospitals · Colville, WAPhysician 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.
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.
CHEWELAH, WA 99109
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.
Which organizations bill Medicare for Tessa Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tessa Moore reassigns Medicare benefits to 2 organizations: Providence Health & Services Washington (Chewelah, WA) and Providence Health & Services - Washington (Colville, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tessa Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tessa Moore accept?
Health plans from Ambetter Health, 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 Prov Sacred Hrt Med Ctr & Childs Hosp., 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 14 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.
# Tessa Elizabeth Moore, MD · NPI 1003565177
Family Medicine physician in Chewelah, Washington. Individual provider, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1003565177 (Entity type: Individual)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD61583267 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 W SOUTH AVE, Chewelah, WA 99109-9684
- **Phone:** (509) 935-8111 · **Fax:** (509) 935-0970
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Washington (NPI 1639892672, Chewelah, WA); Providence Health & Services - Washington (NPI 1841442332, Colville, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** August 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1003565177) · Data from the CMS NPPES public registry.