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PHYLLIS P MOORE DNP,FNP-BC
NPI 1023374279
Nurse Practitioner - Family in Friendship, TN

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
600 MAIN ST, FRIENDSHIP, TN 38034(731) 677-3400(731) 677-3402 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2016, May 12, 2016 (2 updates tracked since 2016).

About Phyllis P Moore Dnp,fnp-bc NPPES

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

PHYLLIS P MOORE DNP,FNP-BC (NPI 1023374279) is an individual family provider in Friendship, Tennessee, licensed in Tennessee (APN0000016606) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023374279
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHYLLIS P MOORECredential: DNP,FNP-BC
Location Address600 MAIN STFriendship, TN 38034-1999
Mailing Address600 Main StFriendship, TN 38034-1999 · (731) 677-3400 · Fax (731) 677-3402
Phone(731) 677-3400
Fax(731) 677-3402
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 2, 2012
Last NPPES UpdateNovember 3, 20162 updates tracked since enumeration
✔ NPI 1023374279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN0000016606
600 MAIN ST, Friendship, TN 38034
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ021117TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Phyllis P Moore Dnp,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 ID2264694165
PECOS Enrollment IDI20120509000473
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Phyllis Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Tennessee
30 mi
Family Medicine
294 SUMMAR DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 54 clinicians in this Medicare group
NPI 1780686436 (731) 423-1932
Fast Pace Medical Clinic PLLC
133 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006
Upperline Healthcare, PC
222 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Tennessee enrollment
  • 537 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38034 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

MOORE MEDICAL CLINIC LLC
Nurse Practitioner (Family)
600 MAIN ST
FRIENDSHIP, TN 38034
Crockett County (731) 677-3400

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 Phyllis Moore's NPI number?

The NPI number for Phyllis Moore is 1023374279. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Phyllis Moore located?

Phyllis Moore practices at 600 Main St, Friendship, TN 38034. The listed phone number is (731) 677-3400.

What is Phyllis Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Phyllis Moore enrolled in Medicare?

Yes. Phyllis 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 Phyllis Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Moore reassigns Medicare benefits to 3 organizations: University Of Tennessee (Jackson, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Upperline Healthcare, PC (Hoover, AL). 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 Phyllis Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Moore accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Phyllis 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.

When was this NPI record last updated?

The NPPES record for Phyllis Moore was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.