KATERINA MOORE CNM
NPI 1174481774
Advanced Practice Midwife in Williamsport, PA

Q: What is Katerina Moore's NPI number?

The NPI number for Katerina Moore is 1174481774. It was assigned to this individual provider in the NPPES registry on January 13, 2026.

Q: What is Katerina Moore's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Katerina Moore was last updated on March 31, 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.

Active since January 13, 2026PECOS Enrolled

740 HIGH ST STE 1004, WILLIAMSPORT, PA 17701(570) 321-3300 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Jan 13, 2026 (2 updates tracked since 2026).

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About Katerina Moore Cnm NPPES

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

KATERINA MOORE CNM (NPI 1174481774) is an individual advanced practice midwife in Williamsport, Pennsylvania, licensed in Pennsylvania (MW010889) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174481774

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameKATERINA MOORECredential: CNM

Location Address740 HIGH ST STE 1004Williamsport, PA 17701-3102

Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900

Phone(570) 321-3300

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 13, 2026

Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1174481774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in PA · MW010889

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

740 HIGH ST STE 1004, Williamsport, PA 17701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katerina Moore Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769961507

PECOS Enrollment IDI20260211001923

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 Katerina Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Susquehanna Physician Services

Same address

Obstetrics & Gynecology

740 HIGH STREET, SUITE 1004
Williamsport, PA 17701

Reassigned Medicare billing, Pennsylvania enrollment
31 clinicians in this Medicare group

NPI 1770719882 (570) 321-3300

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 17701 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

Other Providers at the Same Location NPPES 13

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

ANGELA LYNN SMITH CNM

Advanced Practice Midwife

740 HIGH ST STE 1004
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-3300

AUTUMN HILL CNM

Advanced Practice Midwife

740 HIGH ST STE 1004, SUITE 1004
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-3300

CASSANDRA ANN BRODGINSKI CNM

Advanced Practice Midwife

740 HIGH ST STE 1004
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-3300

NATALIE KAY NYMAN PA-C

Physician Assistant

740 HIGH ST STE 1004
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-3300

HEATHER NICOLE BROOKS CNM

Advanced Practice Midwife

740 HIGH ST STE 1004
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-3300

MORGAN MANGLAVITI PA-C

Physician Assistant

740 HIGH ST STE 1004
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-3300

SARAH ELIZABETH KOZLOWSKI PA-C

Physician Assistant

740 HIGH ST STE 1004
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-3300

JENNIFER LYNN MARSHALEK D.O.

Obstetrics & Gynecology

740 HIGH ST STE 1004
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-3300

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 Katerina Moore's NPI number?

The NPI number for Katerina Moore is 1174481774. It was assigned to this individual provider in the NPPES registry on January 13, 2026.

Where is Katerina Moore located?

Katerina Moore practices at 740 High St Ste 1004, Williamsport, PA 17701. The listed phone number is (570) 321-3300.

What is Katerina Moore's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Katerina Moore enrolled in Medicare?

Yes. Katerina Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katerina Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katerina Moore reassigns Medicare benefits to Susquehanna Physician Services (Williamsport, PA). 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 Katerina Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katerina Moore was last updated on March 31, 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.