PHYLLIS ANN MOORE FNP
NPI 1235407248
Nurse Practitioner - Family in Fort Worth, TX
About Phyllis Ann Moore Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYLLIS ANN MOORE FNP (NPI 1235407248) is an individual family provider in Fort Worth, Texas, licensed in Texas (254099) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 (PECOS)
Phyllis Ann Moore Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Phyllis Moore's NPI number?
The NPI number for Phyllis Moore is 1235407248. It was assigned to this individual provider in the NPPES registry on December 5, 2011.
Where is Phyllis Moore located?
Phyllis Moore practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0387.
What is Phyllis Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Phyllis Moore enrolled in Medicare?
Yes. Phyllis Moore is registered in the Medicare PECOS enrollment system.
What insurance does Phyllis Moore accept?
Health plans from Baylor Scott and White Health Plan list Phyllis 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.
When was this NPI record last updated?
The NPPES record for Phyllis Moore was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Phyllis Ann Moore, FNP · NPI 1235407248
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since December 5, 2011.
## Identity
- **NPI:** 1235407248 (Entity type: Individual)
- **Enumerated:** December 5, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 254099 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 815 PENNSYLVANIA AVE, Fort Worth, TX 76104-2224
- **Phone:** (817) 321-0387 · **Fax:** (469) 522-6889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 5, 2011
- **Other identifiers:** Medicare UPIN 8D6513
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Source: [NPI Profile](https://npiprofile.com/npi/1235407248) · Data from the CMS NPPES public registry.