DUSHARME LAKIVA-ANN MOORE NP
NPI 1386367092
Nurse Practitioner - Family in Jackson, MS

Q: What is Dusharme Moore's NPI number?

The NPI number for Dusharme Moore is 1386367092. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Q: What is Dusharme Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dusharme Moore was last updated on April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since September 20, 2022PECOS EnrolledAccepts Medicare Assignment

6501 DOGWOOD VIEW PKWY STE B, JACKSON, MS 39213(601) 899-3317 Get Directions Write a Review

NPPES record last updated: April 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2026, Sep 20, 2022 (2 updates tracked since 2022).

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About Dusharme Lakiva-ann Moore Np NPPES

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

DUSHARME LAKIVA-ANN MOORE NP (NPI 1386367092) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (905573) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386367092

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDUSHARME LAKIVA-ANN MOORECredential: NP

Location Address6501 DOGWOOD VIEW PKWY STE BJackson, MS 39213-7857

Mailing Address6501 Dogwood View Pkwy Ste BJackson, MS 39213-7857 · (601) 899-3317

Phone(601) 899-3317

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 20, 2022

Last NPPES UpdateApril 5, 20262 updates tracked since enumeration

NPPES CertifiedApril 5, 2026

✔ NPI 1386367092 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 MS · 905573

6501 DOGWOOD VIEW PKWY STE B, Jackson, MS 39213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Dusharme Lakiva-ann Moore Np 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 ID2062850597

PECOS Enrollment IDI20240403002606

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 6

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.

96 services68 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

44 services32 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

26 services24 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

19 services18 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

13 services13 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Merit Health Central

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250072

Location1850 Chadwick DrJackson, MS 39204 · Hinds County

Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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 Dusharme Moore's NPI number?

The NPI number for Dusharme Moore is 1386367092. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Dusharme Moore located?

Dusharme Moore practices at 6501 Dogwood View Pkwy Ste B, Jackson, MS 39213. The listed phone number is (601) 899-3317.

What is Dusharme Moore's specialty?

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

Is Dusharme Moore enrolled in Medicare?

Yes. Dusharme 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 Dusharme 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 2 other insurers list Dusharme 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 Dusharme Moore affiliated with any hospitals?

According to CMS data, Dusharme Moore is affiliated with St Dominic-Jackson Memorial Hospital, Merit Health Central and Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Dusharme Moore was last updated on April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.