ANDREA MOORE FNP-BC
NPI 1336742410
Nurse Practitioner - Family in Jackson, MS
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 maintains a secondary practice location in Madison.
NPPES Registry Identity
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Andrea Moore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 62 clinicians in this Medicare group
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Medical Foundation Of Central Mississippi Inc
- 423 clinicians in this Medicare group
Mount Juliet, TN 37122
- Reassigned Medicare billing, Mississippi enrollment
- 11 clinicians in this Medicare group
Cincinnati, OH 45202
- Reassigned Medicare billing, Mississippi enrollment
- 6 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.
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.
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, MSPhysician 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.
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.
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.
JACKSON, MS 39216
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.
Which organizations bill Medicare for Andrea Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Moore reassigns Medicare benefits to 4 organizations: St. Dominic Jackson Memorial (Jackson, MS), Baptist Jackson Heart Cardiology Clinic-Magee (Jackson, MS), Regional Healthcare Group LLC (Mount Juliet, TN) and Mobile Wound Care Solutions LLC (Cincinnati, OH). 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 Andrea Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Moore accept?
Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare 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.
# Andrea Moore, FNP-BC · NPI 1336742410
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since November 19, 2020.
## Identity
- **NPI:** 1336742410 (Entity type: Individual)
- **Enumerated:** November 19, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 904214 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 971 LAKELAND DR, Jackson, MS 39216-4643
- **Phone:** (601) 200-2000
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): St. Dominic Jackson Memorial (NPI 1235173691, Jackson, MS); Baptist Jackson Heart Cardiology Clinic-Magee (NPI 1902178346, Jackson, MS); Regional Healthcare Group LLC (NPI 1407587363, Mount Juliet, TN); Mobile Wound Care Solutions LLC (NPI 1548070014, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336742410) · Data from the CMS NPPES public registry.