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: October 18, 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
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

Other Names 1

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

Other Identifiers 1

Medicaid2305999LA

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

11

Medicare enrollment records show Donna Lodge-moore reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
15 SW EVERETT MALL WAY, SUITE A
Everett, WA 98208
  • Reassigned Medicare billing, Washington enrollment
  • 207 clinicians in this Medicare group
Family Medicine
44216 10TH ST W
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Texas enrollment
  • 160 clinicians in this Medicare group
Family Medicine
1301 W 7TH ST, STE 121
Fort Worth, TX 76102
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Louisiana enrollment
  • 439 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas and Washington enrollments
  • 1,246 clinicians in this Medicare group
1,921 mi
Family Medicine
500 KIRTS BLVD, SUITE 200
Troy, MI 48084
  • Reassigned Medicare billing, Louisiana enrollment
  • 42 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Louisiana enrollment
  • 26 clinicians in this Medicare group
Nurse Practitioner
3445 N CAUSEWAY BLVD STE 600
Metairie, LA 70002
  • Reassigned Medicare billing, Louisiana enrollment
  • 49 clinicians in this Medicare group
Nurse Practitioner
5232 WITZ DR
North Syracuse, NY 13212
  • Reassigned Medicare billing, New York 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.

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 9

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

Physician Assistant
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Clinic/Center (Federally Qualified Health Center (FQHC))
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Social Worker (Clinical)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204
Nurse Practitioner (Family)
15 SW EVERETT MALL WAY STE A
EVERETT, WA 98204

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.

Which organizations bill Medicare for Donna Lodge-moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Lodge-moore reassigns Medicare benefits to 11 organizations: Molina Healthcare Of Washington, Inc (Everett, WA), Molina Healthcare Of California (Lancaster, CA), Molina Care Connections, LLC. (Long Beach, CA), Vpa Of Texas PLLC (Fort Worth, TX), Signify Health, LLC (Dallas, TX) and 6 more organizations, listed in the Medicare section above. Each 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 Donna Lodge-moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Lodge-moore accept?

Health plans from Cigna Healthcare list Donna Lodge-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 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 6 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.