MRS. NICOLE JONES MOORE NP
NPI 1245890144
Nurse Practitioner - Family in Hattiesburg, MS
About Mrs. Nicole Jones Moore Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE JONES MOORE NP (NPI 1245890144) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (903302) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Nicole Jones Moore Np 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 Reassignments
2Medicare enrollment records show Nicole Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hattiesburg, MS 39402
- Reassigned Medicare billing, Mississippi enrollment
- 13 clinicians in this Medicare group
Moselle, MS 39459
- Reassigned Medicare billing, Mississippi enrollment
- 10 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.
Areas of Expertise CMS Part B claims 13
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 39402 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Moore's NPI number?
The NPI number for Nicole Moore is 1245890144. It was assigned to this individual provider in the NPPES registry on June 13, 2019.
Where is Nicole Moore located?
Nicole Moore practices at 102 E Hospital Dr, Hattiesburg, MS 39402. The listed phone number is (601) 475-9968.
What is Nicole Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Moore enrolled in Medicare?
Yes. Nicole 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 organizations bill Medicare for Nicole Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Moore reassigns Medicare benefits to 2 organizations: David B Roy Do PA (Hattiesburg, MS) and Grayson Creek Medical Clinic, LLC (Moselle, MS). Each 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 Nicole Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Moore accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Nicole 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 Nicole Moore was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Nicole Jones Moore, NP · NPI 1245890144
Family physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since June 13, 2019.
## Identity
- **NPI:** 1245890144 (Entity type: Individual)
- **Enumerated:** June 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903302 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 E HOSPITAL DR, Hattiesburg, MS 39402-1310
- **Phone:** (601) 475-9968 · **Fax:** (601) 475-9969
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): David B Roy Do PA (NPI 1194124834, Hattiesburg, MS); Grayson Creek Medical Clinic, LLC (NPI 1184166035, Moselle, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245890144) · Data from the CMS NPPES public registry.