SHALANE BETH MOORE NP-C
NPI 1497285696
Nurse Practitioner - Family in Wilmington, NC

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
917 N 4TH ST, WILMINGTON, NC 28401(910) 202-8656(910) 202-8680 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 22, 2021, Jun 20, 2017 (2 updates tracked since 2017).

About Shalane Beth Moore Np-c NPPES

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

SHALANE BETH MOORE NP-C (NPI 1497285696) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (245667) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Duke University School Of Medicine (2017).

NPPES Registry Identity

NPI1497285696
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHALANE BETH MOORECredential: NP-C
Location Address917 N 4TH STWilmington, NC 28401-3450
Mailing Address1932 Monroe StWilmington, NC 28401-6728 · (910) 599-2391
Fax(910) 202-8680
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1497285696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 245667
Also ListedRegistered NurseTaxonomy 163W00000X · License 245667 (NC)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 245667 (NC)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 245667 (NC)
917 N 4TH ST, Wilmington, NC 28401

Other Names 1

Former Name (1)Shalane Beth Wallace

Secondary Practice Location 1

Location 1925 N 4th StWilmington, NC 28401-3450 · Phone (910) 202-8640 · Fax (910) 251-1540

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shalane Beth Moore Np-c 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 ID6709151228
PECOS Enrollment IDI20171010002026
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 Reassignments

2

Medicare enrollment records show Shalane Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
925 N 4TH ST
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 31 clinicians in this Medicare group
Adult Health
5917 OLEANDER DR STE 202
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group

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 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%46 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Social Worker (Clinical)
917 N 4TH ST
WILMINGTON, NC 28401
Family Medicine
917 N 4TH ST
WILMINGTON, NC 28401
Family Medicine
917 N 4TH ST
WILMINGTON, NC 28401
Social Worker (Clinical)
917 N 4TH ST
WILMINGTON, NC 28401
Social Worker (Clinical)
917 N 4TH ST
WILMINGTON, NC 28401
Nurse Practitioner (Psychiatric/Mental Health)
917 N 4TH ST
WILMINGTON, NC 28401
Dentist
917 N 4TH ST
WILMINGTON, NC 28401
Nurse Practitioner (Family)
917 N 4TH ST
WILMINGTON, NC 28401

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 Shalane Moore's NPI number?

The NPI number for Shalane Moore is 1497285696. It was assigned to this individual provider in the NPPES registry on June 20, 2017. The provider is also known as Shalane Beth Wallace.

Where is Shalane Moore located?

Shalane Moore practices at 917 N 4th St, Wilmington, NC 28401. The listed phone number is (910) 202-8656.

What is Shalane Moore's specialty?

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

Is Shalane Moore enrolled in Medicare?

Yes. Shalane 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.

Which organizations bill Medicare for Shalane Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalane Moore reassigns Medicare benefits to 2 organizations: New Hanover Community Health Center Incorporated (Wilmington, NC) and Patient Centered Care, PLLC (Wilmington, NC). Each 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 Shalane Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalane Moore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Shalane 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 Shalane Moore was last updated on June 9, 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.