JENNIFER RENAE MOORE
NPI 1083409502
Nurse Practitioner - Psychiatric/Mental Health in Borger, TX

Q: What is Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1083409502. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Q: What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 14, 2025PECOS Enrolled

120 AVALON ST, BORGER, TX 79007(806) 886-0177 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Jennifer Renae Moore NPPES

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

JENNIFER RENAE MOORE (NPI 1083409502) is an individual psychiatric/mental health provider in Borger, Texas, licensed in Texas (1186147) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Amarillo, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083409502

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER RENAE MOORE

Location Address120 AVALON STBorger, TX 79007-8303

Mailing Address120 Avalon StBorger, TX 79007-8303 · (806) 886-0177

Phone(806) 886-0177

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateApril 14, 2025

Last NPPES UpdateAugust 5, 2025

NPPES CertifiedAugust 5, 2025

✔ NPI 1083409502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1186147

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP1186147 (TX)

120 AVALON ST, Borger, TX 79007

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Secondary Practice Location 1

Location 11500 S Coulter St Ste 3Amarillo, TX 79106-1787 · Phone (806) 350-7601

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Renae Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628584489

PECOS Enrollment IDI20250720000095

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 79007 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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 Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1083409502. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Jennifer Moore located?

Jennifer Moore practices at 120 Avalon St, Borger, TX 79007. The listed phone number is (806) 886-0177.

What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Moore enrolled in Medicare?

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

What insurance does Jennifer Moore accept?

Health plans from Blue Cross and Blue Shield of Texas list Jennifer 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 Jennifer Moore was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.