DUSHARME LAKIVA-ANN MOORE NP
NPI 1386367092
Nurse Practitioner - Family in Jackson, MS
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 maintains a secondary practice location in Calhoun City.
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Dusharme Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39211
- Reassigned Medicare billing, Mississippi enrollment
- 4 clinicians in this Medicare group
Calhoun City, MS 38916
- Reassigned Medicare billing, Mississippi enrollment
- 31 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 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.
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, MSMerit Health Central
Acute Care Hospitals · Jackson, MSMississippi Baptist Medical Center
Acute Care Hospitals · Jackson, MSPhysician 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.
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.
Which organizations bill Medicare for Dusharme Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dusharme Moore reassigns Medicare benefits to 2 organizations: Reddix Family Clinic PA (Jackson, MS) and Baptist Memorial Hospital - Calhoun, Inc (Calhoun City, MS). 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 Dusharme Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dusharme Moore accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 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 September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.
# Dusharme Lakiva-Ann Moore, NP · NPI 1386367092
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since September 20, 2022.
## Identity
- **NPI:** 1386367092 (Entity type: Individual)
- **Enumerated:** September 20, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 905573 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 6501 DOGWOOD VIEW PKWY STE B, Jackson, MS 39213-7857
- **Phone:** (601) 899-3317
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Reddix Family Clinic PA (NPI 1811901242, Jackson, MS); Baptist Memorial Hospital - Calhoun, Inc (NPI 1174043632, Calhoun City, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386367092) · Data from the CMS NPPES public registry.