MS. VICTORIA A HARGRAVE FNP-BC
NPI 1023259967
Nurse Practitioner - Psychiatric/Mental Health in Jerseyville, IL

Q: What is Victoria Hargrave's NPI number?

The NPI number for Victoria Hargrave is 1023259967. It was assigned to this individual provider in the NPPES registry on March 22, 2009. The provider is also known as Victoria Ann Moore.

Q: What is Victoria Hargrave's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Hargrave was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since March 22, 2009PECOS EnrolledAccepts Medicare Assignment

390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052(618) 498-2101(618) 498-8153 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Nov 7, 2024, Mar 20, 2023 and 3 more (6 updates tracked since 2016).

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About Ms. Victoria A Hargrave Fnp-bc NPPES

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

MS. VICTORIA A HARGRAVE FNP-BC (NPI 1023259967) is an individual psychiatric/mental health provider in Jerseyville, Illinois, licensed in Illinois (277002358) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bethalto, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023259967

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. VICTORIA A HARGRAVECredential: FNP-BC

Location Address390 MAPLE SUMMIT RDJerseyville, IL 62052-2000

Mailing Address390 Maple Summit RdJerseyville, IL 62052-2000 · (618) 498-7518 · Fax (618) 498-3052

Phone(618) 498-2101

Fax(618) 498-8153

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 22, 2009

Last NPPES UpdateNovember 13, 20246 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1023259967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 277002358

Also ListedRegistered NurseTaxonomy 163W00000X · License 041347129 (IL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 277002358 (IL)

390 MAPLE SUMMIT RD, Jerseyville, IL 62052

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Other Names 1

Former Name (1)Victoria Ann Moore

Secondary Practice Location 1

Location 1163 E Bethalto DrBethalto, IL 62010-1801 · Phone (618) 433-6640

Other Identifiers 1

Other277002358IL · Il Fpa Aprn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Ms. Victoria A Hargrave Fnp-bc 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 ID8820210248

PECOS Enrollment IDI20141119000559

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62052 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier12 claims24 services$1.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

MRS. DEBORAH MARIE SEYMOUR APN-BC

Nurse Practitioner