MARISA MOORE APRN
NPI 1194344788
Registered Nurse in Tacoma, WA

Q: What is Marisa Moore's NPI number?

The NPI number for Marisa Moore is 1194344788. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Marisa Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Moore was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 13, 2020PECOS Enrolled

915 6TH AVE STE 100, TACOMA, WA 98405(253) 403-7277 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2022, Apr 13, 2020 (2 updates tracked since 2020).

On this page

About Marisa Moore Aprn NPPES

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

MARISA MOORE APRN (NPI 1194344788) is an individual registered nurse in Tacoma, Washington, licensed in Georgia (RN278019) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194344788

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMARISA MOORECredential: APRN

Location Address915 6TH AVE STE 100Tacoma, WA 98405-4682

Mailing Address325 Postwood DrFayetteville, GA 30215-7604 · (678) 873-0958

Phone(253) 403-7277

Sole ProprietorYes

Enumeration DateApril 13, 2020

Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1194344788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in GA · RN278019

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

915 6TH AVE STE 100, Tacoma, WA 98405

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Secondary Practice Locations 2

Location 11405 Clifton Rd NEAtlanta, GA 30322-1060 · Phone (678) 873-0958

Location 2325 Postwood DrFayetteville, GA 30215-7604 · Phone (678) 873-0958

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Moore Aprn 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 Reassignment

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

Multicare Health System

Same address

Neurological Surgery

915 6TH AVE, STE 200
Tacoma, WA 98405

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1497766638 (253) 403-7277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

76 services69 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

71 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

68 services63 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

18 services17 patients

Other Providers at the Same Location NPPES 11

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

AKILA KHAN MD

Psychiatry & Neurology (Neurology)