BETTY KAREN MOORE FNP
NPI 1366746257
Nurse Practitioner - Family in Stevensville, MI

Active since January 06, 2011PECOS EnrolledAccepts Medicare Assignment
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127(269) 429-9644(269) 429-4002 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2020, Sep 3, 2019 (2 updates tracked since 2019).

About Betty Karen Moore Fnp NPPES

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

BETTY KAREN MOORE FNP (NPI 1366746257) is an individual family provider in Stevensville, Michigan, licensed in Michigan (4704282019) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1366746257
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBETTY KAREN MOORECredential: FNP
Location Address5515 CLEVELAND AVEStevensville, MI 49127-9670
Mailing Address5515 Cleveland AveStevensville, MI 49127-9670 · (269) 429-9644 · Fax (269) 429-4002
Fax(269) 429-4002
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 6, 2011
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
NPI 1366746257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704282019
5515 CLEVELAND AVE, Stevensville, MI 49127

Other Identifiers 1

Medicaid1366746257MI

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

Betty Karen Moore Fnp 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 ID8628254414
PECOS Enrollment IDI20200416000204
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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services78 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
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.
41 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49127 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims30 services$5.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims13 services$1.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$90.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
5515 CLEVELAND AVE
STEVENSVILLE, MI 49127
Physician Assistant
5515 CLEVELAND AVE
STEVENSVILLE, MI 49127
Pediatrics
5515 CLEVELAND AVE
STEVENSVILLE, MI 49127
Clinic/Center
5515 CLEVELAND AVE, SUITE 5
STEVENSVILLE, MI 49127
Pediatrics
5515 CLEVELAND AVE
STEVENSVILLE, MI 49127
Nurse Practitioner
5515 CLEVELAND AVE
STEVENSVILLE, MI 49127
Nurse Practitioner
5515 CLEVELAND AVE, SUITE 1
STEVENSVILLE, MI 49127
Pediatrics
5515 CLEVELAND AVE, SUITE 1
STEVENSVILLE, MI 49127

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 Betty Moore's NPI number?

The NPI number for Betty Moore is 1366746257. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Where is Betty Moore located?

Betty Moore practices at 5515 Cleveland Ave, Stevensville, MI 49127. The listed phone number is (269) 429-9644.

What is Betty Moore's specialty?

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

Is Betty Moore enrolled in Medicare?

Yes. Betty 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 Betty Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community and 1 other insurer list Betty 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 Betty Moore affiliated with any hospitals?

According to CMS data, Betty Moore is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Betty Moore was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.