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AMANDA D MOORE FNP
NPI 1497065619
Nurse Practitioner in Idalou, TX

Active since October 21, 2010PECOS Enrolled
100/100
CMS Quality Rating
113 WALNUT ST, IDALOU, TX 79329(806) 892-2537(806) 892-2726 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2021, Nov 9, 2021, Sep 12, 2018 (3 updates tracked since 2018).

About Amanda D Moore Fnp NPPES

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

AMANDA D MOORE FNP (NPI 1497065619) is an individual nurse practitioner in Idalou, Texas, licensed in Texas (AP119568) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497065619
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA D MOORECredential: FNP
Location Address113 WALNUT STIdalou, TX 79329-4003
Mailing Address3601 4th StLubbock, TX 79430-8312 · (806) 743-2373 · Fax (806) 743-2399
Phone(806) 892-2537
Fax(806) 892-2726
Sole ProprietorNo
Enumeration DateOctober 21, 2010
Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1497065619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP119568
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 709372 (TX)
113 WALNUT ST, Idalou, TX 79329
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda D Moore Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Tech University Health Sciences Center Lubbock
8.1 mi
Anatomic Pathology
3601 4TH ST STE 1A115
Lubbock, TX 79430
  • Reassigned Medicare billing, Texas enrollment
  • 685 clinicians in this Medicare group
NPI 1063461358 (806) 743-2155

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79329 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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.

VICKI BUXKEMPER FNP
Nurse Practitioner
113 WALNUT ST
IDALOU, TX 79329
Lubbock County (806) 892-2537
DONNA L BRAZELL N.P.
Nurse Practitioner (Family)
113 WALNUT ST
IDALOU, TX 79329
Lubbock County (806) 892-2537

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 Amanda Moore's NPI number?

The NPI number for Amanda Moore is 1497065619. It was assigned to this individual provider in the NPPES registry on October 21, 2010.

Where is Amanda Moore located?

Amanda Moore practices at 113 Walnut St, Idalou, TX 79329. The listed phone number is (806) 892-2537.

What is Amanda Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Moore enrolled in Medicare?

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

Which organization bills Medicare for Amanda Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Moore reassigns Medicare benefits to Texas Tech University Health Sciences Center Lubbock (Lubbock, TX). The 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 Amanda Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Moore accept?

Health plans from Blue Cross and Blue Shield of Texas list Amanda 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 Amanda Moore was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.