KIMBERLEY ANNE TATUM-MOYER WHNP IBCLC
NPI 1285467613
Nurse Practitioner - Women's Health in Hilo, HI

Q: What is Kimberley Tatum-moyer's NPI number?

The NPI number for Kimberley Tatum-moyer is 1285467613. It was assigned to this individual provider in the NPPES registry on August 21, 2024. The provider is also known as Kimberley Anne Tatum-Moyer Whnp Ibclc.

Q: What is Kimberley Tatum-moyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since August 21, 2024PECOS EnrolledAccepts Medicare Assignment

1190 WAIANUENUE AVE, HILO, HI 96720(808) 932-3797 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberley Anne Tatum-moyer Whnp Ibclc NPPES

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

KIMBERLEY ANNE TATUM-MOYER WHNP IBCLC (NPI 1285467613) is an individual women's health provider in Hilo, Hawaii, licensed in Hawaii (APRN-4777-0) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Duke University School Of Medicine (2023).

NPPES Registry Identity

NPI1285467613

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKIMBERLEY ANNE TATUM-MOYERCredential: WHNP IBCLC

Location Address1190 WAIANUENUE AVEHilo, HI 96720-2089

Mailing Address214 Bluefield RdChapel Hill, NC 27517-7002 · (970) 986-9801

Phone(808) 932-3797

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2023

Enumeration DateAugust 21, 2024

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1285467613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in HI · APRN-4777-0

1190 WAIANUENUE AVE, Hilo, HI 96720

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Other Names 1

Professional Name (2)Kimberley Anne Tatum-moyer Whnp Ibclc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Kimberley Anne Tatum-moyer Whnp Ibclc 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 ID4385179845

PECOS Enrollment IDI20260225001588

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 Reassignments

Medicare enrollment records show Kimberley Tatum-moyer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hilo Benioff Medical Center

Same address

General Acute Care Hospital

1190 WAIANUENUE AVE
Hilo, HI 96720

Reassigned Medicare billing, Hawaii enrollment
263 clinicians in this Medicare group

NPI 1780757856 (808) 932-3000

Duke Health Integrated Practice, Inc.

4,579 mi

Family Medicine

131 MEDICAL PARK RD STE 302
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1760288633 (704) 660-4750

Duke University Health System, Inc.

4,678 mi

Nurse Anesthetist, Certified Registered

ERWIN RD
Durham, NC 27710

Reassigned Medicare billing, North Carolina enrollment
1,503 clinicians in this Medicare group

NPI 1558392977 (919) 684-8111

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.

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96720 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.

KYLE NUGENT

Student in an Organized Health Care Education/Training Program