THERESA LYNN MOORE PMHNP-BC
NPI 1316561202
Nurse Practitioner - Psychiatric/Mental Health in Winston Salem, NC
About Theresa Lynn Moore Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA LYNN MOORE PMHNP-BC (NPI 1316561202) is an individual psychiatric/mental health provider in Winston Salem, North Carolina, licensed in North Carolina (5022767) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Theresa Lynn Moore Pmhnp-bc 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
7Medicare enrollment records show Theresa Moore reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston Salem, NC 27106
- Reassigned Medicare billing, North Carolina enrollment
- 13 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 20 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Nevada enrollment
- 52 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Nevada enrollment
- 51 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, California enrollment
- 105 clinicians in this Medicare group
Gardnerville, NV 89460
- Reassigned Medicare billing, Texas enrollment
- 18 clinicians in this Medicare group
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 103 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 27106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WINSTON SALEM, NC 27106
WINSTON SALEM, NC 27106
WINSTON SALEM, NC 27106
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 Theresa Moore's NPI number?
The NPI number for Theresa Moore is 1316561202. It was assigned to this individual provider in the NPPES registry on June 5, 2020.
Where is Theresa Moore located?
Theresa Moore practices at 1615 Polo Rd, Winston Salem, NC 27106. The listed phone number is (336) 722-7266.
What is Theresa Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Theresa Moore enrolled in Medicare?
Yes. Theresa 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 Theresa Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Moore reassigns Medicare benefits to 7 organizations: Mood Treatment Center, PLLC (Winston Salem, NC), The Neil Group, Inc (Winston Salem, NC), Psychiatry Of Texas PLLC (Houston, TX), Psychplus Medical Associates, PLLC (Houston, TX), Psychplus Medical Associates Of California PC (Houston, TX) and 2 more organizations, listed in the Medicare section above. 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 Theresa Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Moore accept?
Health plans from AmeriHealth Caritas Next, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Theresa 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 Theresa Moore was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Theresa Lynn Moore, PMHNP-BC · NPI 1316561202
Psychiatric/Mental Health physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since June 5, 2020.
## Identity
- **NPI:** 1316561202 (Entity type: Individual)
- **Enumerated:** June 5, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5022767 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1615 POLO RD, Winston Salem, NC 27106-3831
- **Phone:** (336) 722-7266 · **Fax:** (336) 201-0538
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Mood Treatment Center, PLLC (NPI 1285867952, Winston Salem, NC); The Neil Group, Inc (NPI 1518142280, Winston Salem, NC); Psychiatry Of Texas PLLC (NPI 1013476027, Houston, TX); Psychplus Medical Associates, PLLC (NPI 1558118026, Houston, TX); Psychplus Medical Associates Of California PC (NPI 1124875588, Houston, TX); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316561202) · Data from the CMS NPPES public registry.