JOHNNY CLIFTON MOORE
NPI 1235948456
Nurse Practitioner - Psychiatric/Mental Health in Lewisville, TX

Active since January 02, 2025PECOS EnrolledAccepts Medicare Assignment
860 HEBRON PKWY STE 1101, LEWISVILLE, TX 75057(469) 444-2244 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnny Clifton Moore NPPES

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

JOHNNY CLIFTON MOORE (NPI 1235948456) is an individual psychiatric/mental health provider in Lewisville, Texas, licensed in Texas (1184125) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235948456
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOHNNY CLIFTON MOORE
Location Address860 HEBRON PKWY STE 1101Lewisville, TX 75057-5147
Mailing Address4705 Cleves AveAubrey, TX 76227-1881 · (693) 200-0007
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
NPI 1235948456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · 1184125
860 HEBRON PKWY STE 1101, Lewisville, TX 75057

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

Johnny Clifton Moore 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 ID2668900267
PECOS Enrollment IDI20250109003932
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 75057 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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
860 HEBRON PKWY STE 1101
LEWISVILLE, TX 75057
Counselor (Professional)
860 HEBRON PKWY STE 1101
LEWISVILLE, TX 75057
Nurse Practitioner (Psychiatric/Mental Health)
860 HEBRON PKWY STE 1101
LEWISVILLE, TX 75057

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 Johnny Moore's NPI number?

The NPI number for Johnny Moore is 1235948456. It was assigned to this individual provider in the NPPES registry on January 2, 2025.

Where is Johnny Moore located?

Johnny Moore practices at 860 Hebron Pkwy Ste 1101, Lewisville, TX 75057. The listed phone number is (469) 444-2244.

What is Johnny Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Johnny Moore enrolled in Medicare?

Yes. Johnny 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 Johnny Moore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Johnny 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 Johnny Moore was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.