1. Home
  2. Directory
  3. Mississippi
  4. Tupelo
  5. Nurse Practitioner
  6. NPI Profile

BRANDI LATRECE MOORE PMHNP-BC
NPI 1336817238
Nurse Practitioner - Psychiatric/Mental Health in Tupelo, MS

Active since September 03, 2021PECOS EnrolledAccepts Medicare Assignment
824B N GLOSTER ST, TUPELO, MS 38804(662) 222-1911 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Brandi Latrece Moore Pmhnp-bc NPPES

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

BRANDI LATRECE MOORE PMHNP-BC (NPI 1336817238) is an individual psychiatric/mental health provider in Tupelo, Mississippi, licensed in Mississippi (904681) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336817238
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBRANDI LATRECE MOORECredential: PMHNP-BC
Location Address824B N GLOSTER STTupelo, MS 38804-1949
Mailing Address824b N Gloster StTupelo, MS 38804-1949 · (662) 222-1911
Phone(662) 222-1911
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1336817238 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
License✔ Licensed in MS · 904681
824B N GLOSTER ST, Tupelo, MS 38804
Open in Google Maps ↗

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

Brandi Latrece 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 ID7911387105
PECOS Enrollment IDI20220706001021
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services17 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
76 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38804 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.

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 Brandi Moore's NPI number?

The NPI number for Brandi Moore is 1336817238. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Brandi Moore located?

Brandi Moore practices at 824B N Gloster St, Tupelo, MS 38804. The listed phone number is (662) 222-1911.

What is Brandi Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brandi Moore enrolled in Medicare?

Yes. Brandi 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 Brandi Moore was last updated on September 3, 2021. 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.