CHANTZ MOORE APRN- CNP
NPI 1215615869
Nurse Practitioner - Acute Care in Longview, TX
About Chantz Moore Aprn- Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANTZ MOORE APRN- CNP (NPI 1215615869) is an individual acute care provider in Longview, Texas, licensed in Texas (1123730) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains a secondary practice location in Longview.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chantz Moore Aprn- Cnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Chantz Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Good Shepherd Medical Center
Acute Care Hospitals · Longview, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LONGVIEW, TX 75601
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 Chantz Moore's NPI number?
The NPI number for Chantz Moore is 1215615869. It was assigned to this individual provider in the NPPES registry on July 5, 2023.
Where is Chantz Moore located?
Chantz Moore practices at 700 E Marshall Ave, Longview, TX 75601. The listed phone number is (903) 315-2000.
What is Chantz Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Chantz Moore enrolled in Medicare?
Yes. Chantz 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.
Which organization bills Medicare for Chantz Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chantz Moore reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). 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 Chantz Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chantz Moore accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Chantz 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 Chantz Moore affiliated with any hospitals?
According to CMS data, Chantz Moore is affiliated with Christus Good Shepherd Medical Center.
When was this NPI record last updated?
The NPPES record for Chantz Moore was last updated on August 16, 2023. 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.
# Chantz Moore, APRN- CNP · NPI 1215615869
Acute Care physician in Longview, Texas. Individual provider, active in the CMS NPPES registry since July 5, 2023.
## Identity
- **NPI:** 1215615869 (Entity type: Individual)
- **Enumerated:** July 5, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1123730 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 E MARSHALL AVE, Longview, TX 75601-5580
- **Phone:** (903) 315-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 16, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1215615869) · Data from the CMS NPPES public registry.