ABBEY RAE MOORE NP
NPI 1154165678
Nurse Practitioner - Family in Charleston, WV

Active since June 20, 2024PECOS EnrolledAccepts Medicare Assignment
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 205-7535 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Abbey Rae Moore Np NPPES

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

ABBEY RAE MOORE NP (NPI 1154165678) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (120112) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154165678
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABBEY RAE MOORECredential: NP
Location Address4602 MACCORKLE AVE SECharleston, WV 25304-1848
Mailing Address104 Alex LnCharleston, WV 25304-2952
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1154165678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 120112
4602 MACCORKLE AVE SE, Charleston, WV 25304

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abbey Rae Moore Np 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 ID1254862618
PECOS Enrollment IDI20241009002609
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.

Medicare Billing Reassignment

Medicare enrollment records show Abbey Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4602 MACCORKLE AVE SE
Charleston, WV 25304
  • Reassigned Medicare billing, West Virginia enrollment
  • 74 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Psychologist
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant
4602 MACCORKLE AVE SE, 81 LINCOLN PANTHER WAY
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Psychologist
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Abbey Moore's NPI number?

The NPI number for Abbey Moore is 1154165678. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Abbey Moore located?

Abbey Moore practices at 4602 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 205-7535.

What is Abbey Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abbey Moore enrolled in Medicare?

Yes. Abbey 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.

Which organization bills Medicare for Abbey Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abbey Moore reassigns Medicare benefits to Cabin Creek Health Center, Inc. (Charleston, WV). The 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 Abbey Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abbey Moore accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Peak Health Insurance list Abbey 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 Abbey Moore affiliated with any hospitals?

According to CMS data, Abbey Moore is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Abbey Moore was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.