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TINA ANN WILKINSON MOORE PA
NPI 1124013198
Physician Assistant in Willow Park, TX

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
5700 E I 20 SERVICE RD S, WILLOW PARK, TX 76008(817) 489-7300(817) 489-7302 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2019, Mar 23, 2017 (2 updates tracked since 2017).

About Tina Ann Wilkinson Moore Pa NPPES

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

TINA ANN WILKINSON MOORE PA (NPI 1124013198) is an individual physician assistant in Willow Park, Texas, licensed in Texas (PA03112) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1124013198
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTINA ANN WILKINSON MOORECredential: PA
Location Address5700 E I 20 SERVICE RD SWillow Park, TX 76008-5115
Mailing Address5700 E I 20 Service Rd SWillow Park, TX 76008-5115 · (817) 737-7000
Phone(817) 489-7300
Fax(817) 489-7302
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1124013198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA03112
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5700 E I 20 SERVICE RD S, Willow Park, TX 76008
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Secondary Practice Location 1

Location 12400 Mall CirFort Worth, TX 76116-1544 · Phone (817) 737-7000

Other Identifiers 3

Medicaid196341502TX
Medicaid196341501TX
Other8F9743TX · Bcbs

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 and accepts Medicare assignment

Tina Ann Wilkinson Moore Pa 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.

PECOS PAC ID7719948553
PECOS Enrollment IDI20041025000459
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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76008 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 Tina Wilkinson Moore's NPI number?

The NPI number for Tina Wilkinson Moore is 1124013198. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Tina Wilkinson Moore located?

Tina Wilkinson Moore practices at 5700 E I 20 Service Rd S, Willow Park, TX 76008. The listed phone number is (817) 489-7300.

What is Tina Wilkinson Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tina Wilkinson Moore enrolled in Medicare?

Yes. Tina Wilkinson 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 Tina Wilkinson Moore accept?

Health plans from Blue Cross and Blue Shield of Texas list Tina Wilkinson 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 Tina Wilkinson Moore was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.