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MS. DONNA MARIE LODGE-MOORE MSN, APRN, FNP-C
NPI 1154609295
Nurse Practitioner in Everett, WA

Active since July 22, 2011PECOS Enrolled
15 SW EVERETT MALL WAY STE A, EVERETT, WA 98204(504) 352-2565 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Apr 11, 2023, Aug 1, 2022 and 2 more (5 updates tracked since 2022).

About Ms. Donna Marie Lodge-moore Msn, Aprn, Fnp-c NPPES

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

MS. DONNA MARIE LODGE-MOORE MSN, APRN, FNP-C (NPI 1154609295) is an individual nurse practitioner in Everett, Washington, licensed in Washington (AP60359615) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154609295
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. DONNA MARIE LODGE-MOORECredential: MSN, APRN, FNP-C
Location Address15 SW EVERETT MALL WAY STE AEverett, WA 98204-2715
Mailing Address1132 Carmadelle StMarrero, LA 70072-2646 · (504) 352-2565
Phone(504) 352-2565
Sole ProprietorNo
Enumeration DateJuly 22, 2011
Last NPPES UpdateApril 6, 20265 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1154609295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP60359615
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP120751 (TX), 526019 (NY), AP60359515 (WA), AP06526 (LA), 21284 (CA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP06526 (LA), 21284 (CA), 402939 (NY), AP120751 (TX), AP60359515 (WA), AP60359615 (WA)
15 SW EVERETT MALL WAY STE A, Everett, WA 98204
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Other Names 1

Former Name (1)Ms. Donna Marie Lodge-moore Fnp-c, Pmhnp-bc

Other Identifiers 1

Medicaid2305999LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Donna Marie Lodge-moore Msn, Aprn, Fnp-c 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 98204 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

MRS. AMANDA SUE BARKER-HINGEY ARNP-FNP
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Snohomish County (425) 348-6727
SHANNON LOREE OJA PA
Physician Assistant
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Snohomish County (425) 348-6727
KAARI CORBRIDGE ARNP, FNP-C
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Snohomish County (888) 562-5442
LUCY CHEGE FNP DNP
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Snohomish County (555) 562-5442
SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Snohomish County (425) 348-6727
SONYA BETH STARR ARNP
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Snohomish County (888) 562-5442
MARY ELLEINNE FELIX VALENTIN NP-C
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Snohomish County (509) 821-1522
JESSICA LYNN DAY M.S.W., LICSW
Social Worker (Clinical)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Snohomish County (425) 348-6727

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 Donna Lodge-moore's NPI number?

The NPI number for Donna Lodge-moore is 1154609295. It was assigned to this individual provider in the NPPES registry on July 22, 2011. The provider is also known as Ms. Donna Marie Lodge-Moore Fnp-C, Pmhnp-Bc.

Where is Donna Lodge-moore located?

Donna Lodge-moore practices at 15 SW Everett Mall Way Ste A, Everett, WA 98204. The listed phone number is (504) 352-2565.

What is Donna Lodge-moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donna Lodge-moore enrolled in Medicare?

Yes. Donna Lodge-moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donna Lodge-moore was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.