DEANNA MOORMAN FNP-BC
NPI 1134537632
Nurse Practitioner - Obstetrics & Gynecology in Maryville, IL

Active since July 28, 2014PECOS Enrolled
2023 VADALABENE DR, SUITE 200, MARYVILLE, IL 62062(618) 288-7408 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deanna Moorman Fnp-bc NPPES

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

DEANNA MOORMAN FNP-BC (NPI 1134537632) is an individual obstetrics & gynecology provider in Maryville, Illinois, licensed in Illinois (209011286) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134537632
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameDEANNA MOORMANCredential: FNP-BC
Location Address2023 VADALABENE DR, SUITE 200Maryville, IL 62062-5630
Mailing Address2023 Vadalabene Dr, Suite 200Maryville, IL 62062-5630 · (618) 288-7408
Sole ProprietorYes
Enumeration DateJuly 28, 2014
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
NPI 1134537632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in IL · 209011286
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209011286 (IL)
2023 VADALABENE DR, Maryville, IL 62062

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Deanna Moorman Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

Nurse Practitioner (Family)
2023 VADALABENE DR
MARYVILLE, IL 62062
Dentist (Orthodontics and Dentofacial Orthopedics)
2023 VADALABENE DR
MARYVILLE, IL 62062
Obstetrics & Gynecology (Gynecology)
2023 VADALABENE DR, STE 200
MARYVILLE, IL 62062
Nurse Practitioner
2023 VADALABENE DR, SUITE 251
MARYVILLE, IL 62062
Specialist
2023 VADALABENE DR, SUITE 200
MARYVILLE, IL 62062
Registered Nurse
2023 VADALABENE DR
MARYVILLE, IL 62062
Dentist (Orthodontics and Dentofacial Orthopedics)
2023 VADALABENE DR
MARYVILLE, IL 62062
Clinic/Center (Radiology)
2023 VADALABENE DR, SUITE 100
MARYVILLE, IL 62062

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 Deanna Moorman's NPI number?

The NPI number for Deanna Moorman is 1134537632. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is Deanna Moorman located?

Deanna Moorman practices at 2023 Vadalabene Dr Suite 200, Maryville, IL 62062. The listed phone number is (618) 288-7408.

What is Deanna Moorman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Deanna Moorman enrolled in Medicare?

Yes. Deanna Moorman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deanna Moorman was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.