OLIVIA NICOLE MOORE
NPI 1104513589
Physician Assistant in Columbia, SC
About Olivia Nicole Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVIA NICOLE MOORE (NPI 1104513589) is an individual physician assistant in Columbia, South Carolina, licensed in South Carolina (4894) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of University Of South Carolina School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Olivia Nicole Moore 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Richland Hospital
Acute Care Hospitals · Columbia, SCPrisma Health Baptist
Acute Care Hospitals · Columbia, SCPrisma Health Baptist Parkridge
Acute Care Hospitals · Columbia, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29201 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29201
COLUMBIA, SC 29201
COLUMBIA, SC 29201
COLUMBIA, SC 29201
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 Olivia Moore's NPI number?
The NPI number for Olivia Moore is 1104513589. It was assigned to this individual provider in the NPPES registry on April 18, 2023. The provider is also known as Olivia Nicole Moore.
Where is Olivia Moore located?
Olivia Moore practices at 1333 Taylor St Ste 6F, Columbia, SC 29201. The listed phone number is (803) 296-3273.
What is Olivia Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Olivia Moore enrolled in Medicare?
Yes. Olivia 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.
What insurance does Olivia Moore accept?
Health plans from BlueCross BlueShield of South Carolina list Olivia 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.
Is Olivia Moore affiliated with any hospitals?
According to CMS data, Olivia Moore is affiliated with Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.
When was this NPI record last updated?
The NPPES record for Olivia Moore was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Olivia Nicole Moore · NPI 1104513589
Physician Assistant physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since April 18, 2023.
## Identity
- **NPI:** 1104513589 (Entity type: Individual)
- **Enumerated:** April 18, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 4894 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1333 TAYLOR ST STE 6F, Columbia, SC 29201-2953
- **Phone:** (803) 296-3273 · **Fax:** (803) 296-7061
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of South Carolina School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** June 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104513589) · Data from the CMS NPPES public registry.