MISS ADELE PETIGRU MOORE F.N.P.
NPI 1588819205
Nurse Practitioner - Family in Charleston, SC

Q: What is Adele Moore's NPI number?

The NPI number for Adele Moore is 1588819205. It was assigned to this individual provider in the NPPES registry on November 21, 2008.

Q: What is Adele Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adele Moore was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 21, 2008PECOS EnrolledAccepts Medicare Assignment

2145 HENRY TECKLENBURG DR STE 220, CHARLESTON, SC 29414(843) 723-8823(843) 606-8059 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2020, Jun 12, 2019 (2 updates tracked since 2019).

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About Miss Adele Petigru Moore F.n.p. NPPES

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

MISS ADELE PETIGRU MOORE F.N.P. (NPI 1588819205) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (3716) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1588819205

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS ADELE PETIGRU MOORECredential: F.N.P.

Location Address2145 HENRY TECKLENBURG DR STE 220Charleston, SC 29414-5894

Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440

Phone(843) 723-8823

Fax(843) 606-8059

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateNovember 21, 2008

Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration

NPPES CertifiedOctober 30, 2020

✔ NPI 1588819205 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

License✔ Licensed in SC · 3716

2145 HENRY TECKLENBURG DR STE 220, Charleston, SC 29414

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Secondary Practice Location 1

Location 1125 Doughty St, Suite 570Charleston, SC 29403-5744 · Phone (843) 723-8967 · Fax (843) 577-6093

Other Identifiers 1

MedicaidNP2192SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Miss Adele Petigru Moore F.n.p. 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 ID7113080326

PECOS Enrollment IDI20090114000693

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420065

Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County

Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420087

Location316 Calhoun StCharleston, SC 29401 · Charleston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

DR. MATTHEW THOMAS NEAL MD

Neurological Surgery