ELETHIA M MOORE PMHNP
NPI 1114402427
Nurse Practitioner - Psychiatric/Mental Health in Charlottesville, VA
About Elethia M Moore Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELETHIA M MOORE PMHNP (NPI 1114402427) is an individual psychiatric/mental health provider in Charlottesville, Virginia, licensed in Virginia (0024189825) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elethia M Moore Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Elethia Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Richmond, VA 23219
- Reassigned Medicare billing, Virginia enrollment
- 63 clinicians in this Medicare group
Richmond, VA 23298
- Reassigned Medicare billing, Virginia enrollment
- 2,481 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22903 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
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 Elethia Moore's NPI number?
The NPI number for Elethia Moore is 1114402427. It was assigned to this individual provider in the NPPES registry on October 2, 2018.
Where is Elethia Moore located?
Elethia Moore practices at 310 Old Ivy Way, Charlottesville, VA 22903. The listed phone number is (434) 243-6950.
What is Elethia Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Elethia Moore enrolled in Medicare?
Yes. Elethia Moore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Elethia Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elethia Moore reassigns Medicare benefits to 3 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Richmond Behavioral Health Authority (Richmond, VA) and Mcv Associated Physicians (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elethia Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elethia Moore was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elethia M Moore, PMHNP · NPI 1114402427
Psychiatric/Mental Health physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since October 2, 2018.
## Identity
- **NPI:** 1114402427 (Entity type: Individual)
- **Enumerated:** October 2, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024189825 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 OLD IVY WAY, Charlottesville, VA 22903-4896
- **Phone:** (434) 243-6950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA); Richmond Behavioral Health Authority (NPI 1184715328, Richmond, VA); Mcv Associated Physicians (NPI 1710959457, Richmond, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2026
- **Other identifiers:** Medicaid 1336293000 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114402427) · Data from the CMS NPPES public registry.