DEANNA MOORE MSN, APRN, FNP-C
NPI 1073465423
Nurse Practitioner - Family in Youngstown, OH

Active since February 10, 2026PECOS Enrolled
1111 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512(330) 965-0909 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deanna Moore Msn, Aprn, Fnp-c NPPES

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

DEANNA MOORE MSN, APRN, FNP-C (NPI 1073465423) is an individual family provider in Youngstown, Ohio, licensed in Ohio (APRN.CNP.0041412) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073465423
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEANNA MOORECredential: MSN, APRN, FNP-C
Location Address1111 BOARDMAN CANFIELD RDYoungstown, OH 44512-4062
Mailing Address3020 Ellwood RdNew Castle, PA 16101-6302
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 6, 2026
NPI 1073465423 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 OH · APRN.CNP.0041412
1111 BOARDMAN CANFIELD RD, Youngstown, OH 44512

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Deanna Moore Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507341294
PECOS Enrollment IDI20260331002063
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 44512 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

Nurse Practitioner
1111 BOARDMAN CANFIELD RD
YOUNGSTOWN, OH 44512
Nurse Practitioner (Women's Health)
1111 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Obstetrics & Gynecology
1111 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Obstetrics & Gynecology
1111 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Obstetrics & Gynecology
1111 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Nurse Practitioner (Women's Health)
1111 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512

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 Deanna Moore's NPI number?

The NPI number for Deanna Moore is 1073465423. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Deanna Moore located?

Deanna Moore practices at 1111 Boardman Canfield Rd, Youngstown, OH 44512. The listed phone number is (330) 965-0909.

What is Deanna Moore's specialty?

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

Is Deanna Moore enrolled in Medicare?

Yes. Deanna Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deanna Moore was last updated on February 10, 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.