MRS. TANESHA NACOLE MOORE APRN, FNP-C
NPI 1205576980
Nurse Practitioner - Family in San Antonio, TX

Active since March 30, 2022PECOS EnrolledAccepts Medicare Assignment
4647 MEDICAL DR, SAN ANTONIO, TX 78229(918) 381-2968 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tanesha Nacole Moore Aprn, Fnp-c NPPES

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

MRS. TANESHA NACOLE MOORE APRN, FNP-C (NPI 1205576980) is an individual family provider in San Antonio, Texas, licensed in Texas (1072704) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with University Health System, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1205576980
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TANESHA NACOLE MOORECredential: APRN, FNP-C
Location Address4647 MEDICAL DRSan Antonio, TX 78229-4403
Mailing Address4647 Medical DrSan Antonio, TX 78229-4403 · (918) 381-2968
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2022
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1205576980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1072704
4647 MEDICAL DR, San Antonio, TX 78229

Secondary Practice Location 1

Location 1903 W Martin St # MS 49-2San Antonio, TX 78207-0903 · Phone (201) 358-5909

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tanesha Nacole Moore Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294192654
PECOS Enrollment IDI20230531001761
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.

Areas of Expertise CMS Part B claims 2

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.
67 services63 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.
29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Occupational Therapist
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Occupational Therapist
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Internal Medicine (Rheumatology)
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Family Medicine
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4647 MEDICAL DR
SAN ANTONIO, TX 78229
Speech-Language Pathologist
4647 MEDICAL DR
SAN ANTONIO, TX 78229

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 Tanesha Moore's NPI number?

The NPI number for Tanesha Moore is 1205576980. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Tanesha Moore located?

Tanesha Moore practices at 4647 Medical Dr, San Antonio, TX 78229. The listed phone number is (918) 381-2968.

What is Tanesha Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tanesha Moore enrolled in Medicare?

Yes. Tanesha Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tanesha Moore accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Tanesha 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.

Is Tanesha Moore affiliated with any hospitals?

According to CMS data, Tanesha Moore is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Tanesha Moore was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.