SHANNON LEE MOORE ARNP
NPI 1417395385
Nurse Practitioner - Women's Health in Puyallup, WA

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
11102 SUNRISE BLVD E, STE #110, PUYALLUP, WA 98374(253) 697-7350 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Lee Moore Arnp NPPES

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

SHANNON LEE MOORE ARNP (NPI 1417395385) is an individual women's health provider in Puyallup, Washington, licensed in Washington (AP60386228) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417395385
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSHANNON LEE MOORECredential: ARNP
Location Address11102 SUNRISE BLVD E, STE #110Puyallup, WA 98374-8846
Mailing Address11102 Sunrise Blvd E, Ste #110Puyallup, WA 98374-8846 · (253) 697-7350
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 12, 2013
NPI 1417395385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in WA · AP60386228
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60386228 (WA)
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License AP60386228 (WA)
11102 SUNRISE BLVD E, Puyallup, WA 98374

Other Names 1

Former Name (1)Shannon Lee Murchison

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

Shannon Lee Moore Arnp 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 ID9537303730
PECOS Enrollment IDI20250514003783
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 98374 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 18

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

Physician Assistant (Medical)
11102 SUNRISE BLVD E, STE 103
PUYALLUP, WA 98374
Dietitian, Registered
11102 SUNRISE BLVD E, SUITE 102
PUYALLUP, WA 98374
Specialist
11102 SUNRISE BLVD E, SUITE-102
PUYALLUP, WA 98374
Dentist (Orthodontics and Dentofacial Orthopedics)
11102 SUNRISE BLVD E, SUITE 101
PUYALLUP, WA 98374
Emergency Medicine
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Obstetrics & Gynecology
11102 SUNRISE BLVD E, SUITE 110
PUYALLUP, WA 98374
Physician Assistant (Medical)
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374
Pediatrics
11102 SUNRISE BLVD E, SUITE 103
PUYALLUP, WA 98374

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 Shannon Moore's NPI number?

The NPI number for Shannon Moore is 1417395385. It was assigned to this individual provider in the NPPES registry on June 12, 2013. The provider is also known as Shannon Lee Murchison.

Where is Shannon Moore located?

Shannon Moore practices at 11102 Sunrise Blvd E Ste #110, Puyallup, WA 98374. The listed phone number is (253) 697-7350.

What is Shannon Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Shannon Moore enrolled in Medicare?

Yes. Shannon 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 Shannon Moore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shannon 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.

When was this NPI record last updated?

The NPPES record for Shannon Moore was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.