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LYNNMARY TECKLER MOYO
NPI 1053283341
Nurse Practitioner - Women's Health in Fort Worth, TX

Active since September 18, 2025PECOS Enrolled
1500 S MAIN ST, FORT WORTH, TX 76104(469) 570-0103 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lynnmary Teckler Moyo NPPES

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

LYNNMARY TECKLER MOYO (NPI 1053283341) is an individual women's health provider in Fort Worth, Texas, licensed in Texas (1178464) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053283341
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameLYNNMARY TECKLER MOYO
Location Address1500 S MAIN STFort Worth, TX 76104-4941
Mailing Address200 W Magnolia Ave Ste 201Fort Worth, TX 76104-7657 · (817) 702-2977 · Fax (817) 702-2140
Phone(469) 570-0103
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 18, 2025
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1053283341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TX · 1178464
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 1178464 (TX)
1500 S MAIN ST, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 S Main St Ste 201Fort Worth, TX 76104-4804 · Phone (817) 702-1100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynnmary Teckler Moyo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466941794
PECOS Enrollment IDI20251028002246
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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Lynnmary Moyo's NPI number?

The NPI number for Lynnmary Moyo is 1053283341. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Lynnmary Moyo located?

Lynnmary Moyo practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (469) 570-0103.

What is Lynnmary Moyo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Lynnmary Moyo enrolled in Medicare?

Yes. Lynnmary Moyo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lynnmary Moyo was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.