NICOLE PATRICIA MOORE NP
NPI 1043938392
Nurse Practitioner - Acute Care in Valley Stream, NY

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment
900 FRANKLIN AVE, VALLEY STREAM, NY 11580(516) 256-6000 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Patricia Moore Np NPPES

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

NICOLE PATRICIA MOORE NP (NPI 1043938392) is an individual acute care provider in Valley Stream, New York, licensed in New York (432399) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043938392
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE PATRICIA MOORECredential: NP
Location Address900 FRANKLIN AVEValley Stream, NY 11580-2145
Mailing Address900 Franklin AveValley Stream, NY 11580-2145 · (516) 256-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
NPI 1043938392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 432399
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 695945 (NY)
900 FRANKLIN AVE, Valley Stream, NY 11580

Other Names 1

Former Name (1)Nicole Patricia Williams Rn

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

Nicole Patricia Moore Np 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 ID4082086095
PECOS Enrollment IDI20230220001716
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

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11580 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Anesthesiology
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Radiology (Diagnostic Radiology)
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nurse Practitioner (Family)
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Pharmacist
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nurse Anesthetist, Certified Registered
900 FRANKLIN AVE
VALLEY STREAM, NY 11580

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 Nicole Moore's NPI number?

The NPI number for Nicole Moore is 1043938392. It was assigned to this individual provider in the NPPES registry on August 22, 2022. The provider is also known as Nicole Patricia Williams Rn.

Where is Nicole Moore located?

Nicole Moore practices at 900 Franklin Ave, Valley Stream, NY 11580. The listed phone number is (516) 256-6000.

What is Nicole Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Moore enrolled in Medicare?

Yes. Nicole 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.

Is Nicole Moore affiliated with any hospitals?

According to CMS data, Nicole Moore is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Moore was last updated on August 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.