TIERRA LA'SHAY MOORE FNP
NPI 1255209862
Nurse Practitioner - Family in Washington, NC

Active since October 27, 2025PECOS EnrolledAccepts Medicare Assignment
120 W MARTIN LUTHER KING JR DR, WASHINGTON, NC 27889(252) 940-0602 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tierra La'shay Moore Fnp NPPES

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

TIERRA LA'SHAY MOORE FNP (NPI 1255209862) is an individual family provider in Washington, North Carolina, licensed in North Carolina (5023360) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255209862
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIERRA LA'SHAY MOORECredential: FNP
Location Address120 W MARTIN LUTHER KING JR DRWashington, NC 27889-4906
Mailing Address120 W Martin Luther King Jr DrWashington, NC 27889-4906 · (252) 940-0602
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 26, 2025
✔ NPI 1255209862 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 NC · 5023360
120 W MARTIN LUTHER KING JR DR, Washington, NC 27889

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

Tierra La'shay Moore Fnp 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 ID9638650328
PECOS Enrollment IDI20260220001329
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.

Medicare Billing Reassignment

Medicare enrollment records show Tierra Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
120 W MARTIN LUTHER KING JR DR
Washington, NC 27889
  • Reassigned Medicare billing, North Carolina enrollment
  • 40 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27889 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Counselor (Mental Health)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Nurse Practitioner (Family)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Counselor (Addiction (Substance Use Disorder))
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Social Worker (Clinical)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Clinic/Center (Federally Qualified Health Center (FQHC))
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Social Worker (Clinical)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Clinic/Center (Federally Qualified Health Center (FQHC))
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Nurse Practitioner (Psychiatric/Mental Health)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889

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 Tierra Moore's NPI number?

The NPI number for Tierra Moore is 1255209862. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Tierra Moore located?

Tierra Moore practices at 120 W Martin Luther King Jr Dr, Washington, NC 27889. The listed phone number is (252) 940-0602.

What is Tierra Moore's specialty?

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

Is Tierra Moore enrolled in Medicare?

Yes. Tierra 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 Tierra Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tierra Moore reassigns Medicare benefits to Metropolitan Community Health Services, Inc (Washington, NC). 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 Tierra Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tierra Moore accept?

Health plans from UnitedHealthcare list Tierra 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 Tierra Moore was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.