STACY CATHRYN MOORE FNP
NPI 1407136773
Nurse Practitioner - Family in Dublin, VA

Active since August 18, 2011PECOS EnrolledAccepts Medicare Assignment
118 BROAD ST, DUBLIN, VA 24084(540) 674-8804(540) 678-8670 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Cathryn Moore Fnp NPPES

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

STACY CATHRYN MOORE FNP (NPI 1407136773) is an individual family provider in Dublin, Virginia, licensed in Virginia (0024169559) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1407136773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY CATHRYN MOORECredential: FNP
Location Address118 BROAD STDublin, VA 24084-3211
Mailing Address118 Broad StDublin, VA 24084-3211 · (540) 674-8805 · Fax (540) 674-8670
Fax(540) 678-8670
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 18, 2011
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
NPI 1407136773 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 VA · 0024169559
118 BROAD ST, Dublin, VA 24084

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

Stacy Cathryn 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 ID5193998185
PECOS Enrollment IDI20111108000629
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 12

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.
196 services99 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.
190 services93 patients
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.
64 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
27 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490042
Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24084 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Family Medicine
118 BROAD ST
DUBLIN, VA 24084
Physician Assistant
118 BROAD ST
DUBLIN, VA 24084
Physician Assistant
118 BROAD ST
DUBLIN, VA 24084
Family Medicine
118 BROAD ST
DUBLIN, VA 24084
Physician Assistant
118 BROAD ST
DUBLIN, VA 24084
Nurse Practitioner (Family)
118 BROAD ST
DUBLIN, VA 24084

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 Stacy Moore's NPI number?

The NPI number for Stacy Moore is 1407136773. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Stacy Moore located?

Stacy Moore practices at 118 Broad St, Dublin, VA 24084. The listed phone number is (540) 674-8804.

What is Stacy Moore's specialty?

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

Is Stacy Moore enrolled in Medicare?

Yes. Stacy 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.

Is Stacy Moore affiliated with any hospitals?

According to CMS data, Stacy Moore is affiliated with Carilion Medical Center and Carilion New River Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Stacy Moore was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.