MADISON NUNNERY MOORE NP
NPI 1033967963
Nurse Practitioner - Neonatal in Covington, LA
About Madison Nunnery Moore Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON NUNNERY MOORE NP (NPI 1033967963) is an individual neonatal provider in Covington, Louisiana, licensed in Louisiana (212861) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baton Rouge, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 (PECOS)
Madison Nunnery Moore Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Madison Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 873 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70433 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COVINGTON, LA 70433
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 Madison Moore's NPI number?
The NPI number for Madison Moore is 1033967963. It was assigned to this individual provider in the NPPES registry on May 7, 2024. The provider is also known as Madison Marie Nunnery Np.
Where is Madison Moore located?
Madison Moore practices at 1202 S Tyler St, Covington, LA 70433. The listed phone number is (985) 898-4000.
What is Madison Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Madison Moore enrolled in Medicare?
Yes. Madison Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Madison Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Moore reassigns Medicare benefits to Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA). The 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 Madison Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madison Moore accept?
Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Madison 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 Madison Moore was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Madison Nunnery Moore, NP · NPI 1033967963
Neonatal physician in Covington, Louisiana. Individual provider, active in the CMS NPPES registry since May 7, 2024.
## Identity
- **NPI:** 1033967963 (Entity type: Individual)
- **Enumerated:** May 7, 2024
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 212861 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1202 S TYLER ST, Covington, LA 70433-2330
- **Phone:** (985) 898-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Our Lady Of The Lake Physician Group LLC (NPI 1033494943, Baton Rouge, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033967963) · Data from the CMS NPPES public registry.