PHYLLIS E MOORE APRN
NPI 1497130017
Nurse Practitioner - Family in Fort Myers, FL

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment
9981 S HEALTHPARK DR, FORT MYERS, FL 33908(239) 343-6260(239) 343-6259 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 9, 2024, Sep 20, 2022, Oct 26, 2020 (3 updates tracked since 2020).

About Phyllis E Moore Aprn NPPES

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

PHYLLIS E MOORE APRN (NPI 1497130017) is an individual family provider in Fort Myers, Florida, licensed in Florida (APRN11030618) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497130017
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHYLLIS E MOORECredential: APRN
Location Address9981 S HEALTHPARK DRFort Myers, FL 33908-3618
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6260 · Fax (239) 343-6259
Fax(239) 343-6259
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 24, 2015
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
NPI 1497130017 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
Licenses Licensed in FL · APRN11030618 Licensed in KY · 3009442
9981 S HEALTHPARK DR, Fort Myers, FL 33908

Secondary Practice Location 1

Location 1231 E Chestnut StLouisville, KY 40202-1821 · Phone (502) 629-6000 · Fax (502) 852-8556

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

Phyllis E Moore Aprn 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 ID3274841051
PECOS Enrollment IDI20240123001744
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 33908 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 20

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

Hospitalist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Registered Nurse (Neonatal Intensive Care)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics (Neonatal-Perinatal Medicine)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Physician Assistant
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Hospitalist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Psychologist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics (Pediatric Critical Care Medicine)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Hospitalist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908

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 Phyllis Moore's NPI number?

The NPI number for Phyllis Moore is 1497130017. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Where is Phyllis Moore located?

Phyllis Moore practices at 9981 S Healthpark Dr, Fort Myers, FL 33908. The listed phone number is (239) 343-6260.

What is Phyllis Moore's specialty?

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

Is Phyllis Moore enrolled in Medicare?

Yes. Phyllis 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 Phyllis Moore accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Phyllis 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 Phyllis Moore was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.