TRISCHELLA MOORE
NPI 1609706753
Nurse Practitioner - Family in Chicago, IL

Active since May 20, 2026PECOS EnrolledAccepts Medicare Assignment
1236 E 53RD ST, CHICAGO, IL 60615(773) 231-0957 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, May 20, 2026 (2 updates tracked since 2026).

About Trischella Moore NPPES

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

TRISCHELLA MOORE (NPI 1609706753) is an individual family provider in Chicago, Illinois, licensed in Illinois (209035678) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609706753
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRISCHELLA MOORE
Location Address1236 E 53RD STChicago, IL 60615-4008
Mailing AddressPo Box 288461Chicago, IL 60628-8421
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 20, 2026
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1609706753 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 IL · 209035678
1236 E 53RD ST, Chicago, IL 60615

Secondary Practice Locations 2

Location 14055 Valley View Ln Ste 700Dallas, TX 75244-5045 · Phone (855) 984-5121
Location 2PO Box 288461Chicago, IL 60628-8421 · Phone (773) 499-2279

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

Trischella Moore 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 ID5890250898
PECOS Enrollment IDI20260721001236
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 Trischella Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
40 75TH ST
Willowbrook, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 410 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 60615 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

Clinic/Center (Urgent Care)
1236 E 53RD ST
CHICAGO, IL 60615

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 Trischella Moore's NPI number?

The NPI number for Trischella Moore is 1609706753. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Trischella Moore located?

Trischella Moore practices at 1236 E 53rd St, Chicago, IL 60615. The listed phone number is (773) 231-0957.

What is Trischella Moore's specialty?

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

Is Trischella Moore enrolled in Medicare?

Yes. Trischella 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 organization bills Medicare for Trischella Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trischella Moore reassigns Medicare benefits to Midwest Express Care 2, Inc (Willowbrook, IL). 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 Trischella Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trischella Moore accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Trischella 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 Trischella Moore was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.