ANDREA MOORE FNP-BC
NPI 1336742410
Nurse Practitioner - Family in Jackson, MS

Active since November 19, 2020PECOS EnrolledAccepts Medicare Assignment
71/100
CMS Quality Rating
971 LAKELAND DR, JACKSON, MS 39216(601) 200-2000 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 21, 2022, Nov 19, 2020 (2 updates tracked since 2020).

About Andrea Moore Fnp-bc NPPES

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

ANDREA MOORE FNP-BC (NPI 1336742410) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (904214) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336742410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA MOORECredential: FNP-BC
Location Address971 LAKELAND DRJackson, MS 39216-4643
Mailing Address971 Lakeland DrJackson, MS 39216-4643 · (601) 200-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 19, 2020
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1336742410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 904214
Also ListedNurse PractitionerTaxonomy 363L00000X · License 904214 (MS)
971 LAKELAND DR, Jackson, MS 39216

Accepted 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

Andrea Moore Fnp-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 ID7214322627
PECOS Enrollment IDI20220322002250
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
168 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.58
Promoting Interoperability86
Improvement Activities40
Cost58.42

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
971 LAKELAND DR, SUITE 450
JACKSON, MS 39216
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Obstetrics & Gynecology (Gynecology)
971 LAKELAND DR, STE 750
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Anesthesiology
971 LAKELAND DR, SUIITE 202
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Audiologist
971 LAKELAND DR, SUITE 854
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR, SUITE 557
JACKSON, MS 39216

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 Andrea Moore's NPI number?

The NPI number for Andrea Moore is 1336742410. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Andrea Moore located?

Andrea Moore practices at 971 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-2000.

What is Andrea Moore's specialty?

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

Is Andrea Moore enrolled in Medicare?

Yes. Andrea 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 Andrea Moore accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Andrea 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.

Is Andrea Moore affiliated with any hospitals?

According to CMS data, Andrea Moore is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Moore was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.