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
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 (PECOS)
Elethia M Moore Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
What insurance does Elethia Moore accept?
Health plans from Providence Health Plan list Elethia 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 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 22 days 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
## 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.