MARIA MOORE PA-C
NPI 1295395333
Physician Assistant - Medical in Raleigh, NC

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment
160 MINE LAKE CT STE 200, RALEIGH, NC 27615(520) 390-1793 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Aug 22, 2019, Jun 20, 2019 (3 updates tracked since 2019).

About Maria Moore Pa-c NPPES

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

MARIA MOORE PA-C (NPI 1295395333) is an individual medical provider in Raleigh, North Carolina, licensed in North Carolina (0010-14553) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295395333
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARIA MOORECredential: PA-C
Location Address160 MINE LAKE CT STE 200Raleigh, NC 27615-6417
Mailing Address122 E Oak StFort Mill, SC 29715-1822 · (678) 209-3046 · Fax (678) 209-3046
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 20, 2019
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1295395333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in NC · 0010-14553 Licensed in TN · 3876
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 3876 (TN)
160 MINE LAKE CT STE 200, Raleigh, NC 27615

Other Names 1

Former Name (1)Maria Gaynier

Secondary Practice Location 1

Location 16286 Briarcrest Ave Ste 200Memphis, TN 38120-4023 · Phone (901) 641-3000 · Fax (901) 259-1698

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

Maria Moore Pa-c 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 ID1557699964
PECOS Enrollment IDI20260202003110
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.

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Surgical)
160 MINE LAKE CT STE 200
RALEIGH, NC 27615
Lactation Consultant, Non-RN
160 MINE LAKE CT STE 200
RALEIGH, NC 27615
Specialist/Technologist, Other (Electroneurodiagnostic)
160 MINE LAKE CT STE 200
RALEIGH, NC 27615
Surgery
160 MINE LAKE CT STE 200
RALEIGH, NC 27615
Behavior Analyst
160 MINE LAKE CT STE 200
RALEIGH, NC 27615
Health and Wellness Coach
160 MINE LAKE CT STE 200
RALEIGH, NC 27615
Nurse Practitioner (Family)
160 MINE LAKE CT STE 200
RALEIGH, NC 27615
Surgery
160 MINE LAKE CT STE 200
RALEIGH, NC 27615

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 Maria Moore's NPI number?

The NPI number for Maria Moore is 1295395333. It was assigned to this individual provider in the NPPES registry on June 20, 2019. The provider is also known as Maria Gaynier.

Where is Maria Moore located?

Maria Moore practices at 160 Mine Lake Ct Ste 200, Raleigh, NC 27615. The listed phone number is (520) 390-1793.

What is Maria Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maria Moore enrolled in Medicare?

Yes. Maria 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.

When was this NPI record last updated?

The NPPES record for Maria Moore was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.