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THERESA LYNN MOORE PMHNP-BC
NPI 1316561202
Nurse Practitioner - Psychiatric/Mental Health in Winston Salem, NC

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
1615 POLO RD, WINSTON SALEM, NC 27106(336) 722-7266(336) 201-0538 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Oct 6, 2025, Mar 10, 2022 and 3 more (6 updates tracked since 2020).

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

NPI1316561202
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTHERESA LYNN MOORECredential: PMHNP-BC
Location Address1615 POLO RDWinston Salem, NC 27106-3831
Mailing Address1615 Polo RdWinston Salem, NC 27106-3831 · (336) 722-7266 · Fax (336) 201-0538
Phone(336) 722-7266
Fax(336) 201-0538
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 5, 2020
Last NPPES UpdateJanuary 15, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1316561202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NC · 5022767✔ Licensed in CA · NP95019703
1615 POLO RD, Winston Salem, NC 27106
Open in Google Maps ↗

Secondary Practice Location 1

Location 1104 Cambridge Plaza DrWinston Salem, NC 27104-3556 · Phone (336) 722-7266 · Fax (336) 201-0538

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

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

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.

PECOS PAC ID9335554617
PECOS Enrollment IDI20250603004354, I20251023001456
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.

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.

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.

VIRGINIA LEIGH LOVE
Social Worker (Clinical)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MS. SOPHIA HEATON MSW, LCSW
Social Worker (Clinical)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MIKAELA REESE CALDWELL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
ANNA LEISA SAUSER LPCA
Counselor (Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MS. VALERIE VESTAL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MR. JAMES AL GREENE CCS, LCAS
Counselor (Addiction (Substance Use Disorder))
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
ADAM CARLTON MCDONOUGH M.D.
Psychiatry & Neurology (Psychiatry)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
JANET G NESTOR MA, LPC
Counselor (Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 794-2343

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.

What insurance does Theresa Moore accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc 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 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.