MARY ANN MOORE
NPI 1457044653
Nurse Practitioner - Psychiatric/Mental Health in Prescott, AZ

Q: What is Mary Moore's NPI number?

The NPI number for Mary Moore is 1457044653. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Q: What is Mary 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 Mary Moore was last updated on March 27, 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 June 01, 2023PECOS Enrolled

505 WHIPPLE ST, PRESCOTT, AZ 86301(928) 232-5987(928) 776-6496 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Dec 13, 2023, Jun 1, 2023 (3 updates tracked since 2023).

On this page

About Mary Ann Moore NPPES

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

MARY ANN MOORE (NPI 1457044653) is an individual psychiatric/mental health provider in Prescott, Arizona, licensed in Arizona (292594) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457044653

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARY ANN MOORE

Location Address505 WHIPPLE STPrescott, AZ 86301-1747

Mailing Address505 Whipple StPrescott, AZ 86301-1747 · (928) 232-5987 · Fax (928) 776-6496

Phone(928) 232-5987

Fax(928) 776-6496

Sole ProprietorNo

Enumeration DateJune 1, 2023

Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1457044653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 292594

505 WHIPPLE ST, Prescott, AZ 86301

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 86301 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 2

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

MR. GARY HEES LPC

Counselor (Addiction (Substance Use Disorder))

505 WHIPPLE ST
PRESCOTT, AZ 86301

Yavapai County (928) 778-4600

JOHN CLARIZIO LMSW

Social Worker

505 WHIPPLE ST
PRESCOTT, AZ 86301

Yavapai County (928) 778-4600

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1457044653. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Mary Moore located?

Mary Moore practices at 505 Whipple St, Prescott, AZ 86301. The listed phone number is (928) 232-5987.

What is Mary Moore's specialty?

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

Is Mary Moore enrolled in Medicare?

Yes. Mary Moore is registered in the Medicare PECOS enrollment system.

What insurance does Mary Moore accept?

Health plans from Blue Cross Blue Shield of Arizona list Mary 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 Mary Moore was last updated on March 27, 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.