MRS. MELANIE DAWN MOORE NP
NPI 1205187861
Nurse Practitioner - Adult Health in Louisville, KY

Q: What is Melanie Moore's NPI number?

The NPI number for Melanie Moore is 1205187861. It was assigned to this individual provider in the NPPES registry on September 24, 2012.

Q: What is Melanie Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Moore was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 24, 2012PECOS Enrolled

120 EXECUTIVE PARK, LOUISVILLE, KY 40207(502) 855-7200(502) 855-7201 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Melanie Dawn Moore Np NPPES

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

MRS. MELANIE DAWN MOORE NP (NPI 1205187861) is an individual adult health provider in Louisville, Kentucky, licensed in Kentucky (3007505) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205187861

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. MELANIE DAWN MOORECredential: NP

Location Address120 EXECUTIVE PARKLouisville, KY 40207-4201

Mailing Address223 Executive ParkLouisville, KY 40207-4202 · (502) 907-0356

Phone(502) 855-7200

Fax(502) 855-7201

Sole ProprietorYes

Enumeration DateSeptember 24, 2012

Last NPPES UpdateOctober 28, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1205187861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in KY · 3007505

120 EXECUTIVE PARK, Louisville, KY 40207

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Other Identifiers 2

Medicaid7100654320KY

Medicaid300035632IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melanie Dawn Moore Np 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 40207 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 17

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

BLAKE EVANS MD

Anesthesiology