MRS. VERRETTA MOORE DNP - NPI 1366827511 - Nurse Practitioner in Santa Monica, CA

Q: What is Verretta Moore's NPI number?

The NPI number for Verretta Moore is 1366827511. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Q: What is Verretta Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Verretta Moore was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Verretta Moore Dnp NPPES

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

MRS. VERRETTA MOORE DNP (NPI 1366827511) is an individual psychiatric/mental health provider in Santa Monica, California, licensed in California (95014499) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366827511

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. VERRETTA MOORECredential: DNP

Location Address2001 WILSHIRE BLVD STE 320Santa Monica, CA 90403-5683

Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954

Phone(310) 566-2006

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 29, 2015

Last NPPES UpdateMay 4, 20266 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1366827511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95014499

Also ListedNurse PractitionerTaxonomy 363L00000X · License NP95014499 (CA)

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 71008674A (IN)

2001 WILSHIRE BLVD STE 320, Santa Monica, CA 90403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mrs. Verretta Moore Dnp 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 ID6103120100

PECOS Enrollment IDI20240805001731

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 90403 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM VU

Nurse Practitioner (Psychiatric/Mental Health)