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MELISSA ROSE MOORE CNM, CNP, PMHNP-BC
NPI 1619392172
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since February 20, 2014PECOS EnrolledAccepts Medicare Assignment
1111 11TH ST NW, ALBUQUERQUE, NM 87104(810) 923-6043(505) 727-4505 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Apr 2, 2024, Feb 5, 2016 (3 updates tracked since 2016).

About Melissa Rose Moore Cnm, Cnp, Pmhnp-bc NPPES

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

MELISSA ROSE MOORE CNM, CNP, PMHNP-BC (NPI 1619392172) is an individual psychiatric/mental health provider in Albuquerque, New Mexico, licensed in New Mexico (77534) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2013).

NPPES Registry Identity

NPI1619392172
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA ROSE MOORECredential: CNM, CNP, PMHNP-BC
Location Address1111 11TH ST NWAlbuquerque, NM 87104-2105
Mailing Address1111 11th St NwAlbuquerque, NM 87104-2105 · (810) 923-6043 · Fax (505) 727-4505
Phone(810) 923-6043
Fax(505) 727-4505
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2013
Enumeration DateFebruary 20, 2014
Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1619392172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · 77534
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-78727 (NM), 4704257647 (MI)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 670 (NM)
1111 11TH ST NW, Albuquerque, NM 87104
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Other Names 1

Former Name (1)Melissa Lemorie

Other Identifiers 1

Medicaid31902243NM

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

Melissa Rose Moore Cnm, Cnp, Pmhnp-bc 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 ID4385868629
PECOS Enrollment IDI20240419001820
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 87104 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 Melissa Moore's NPI number?

The NPI number for Melissa Moore is 1619392172. It was assigned to this individual provider in the NPPES registry on February 20, 2014. The provider is also known as Melissa Lemorie.

Where is Melissa Moore located?

Melissa Moore practices at 1111 11th St NW, Albuquerque, NM 87104. The listed phone number is (810) 923-6043.

What is Melissa Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melissa Moore enrolled in Medicare?

Yes. Melissa 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.

When was this NPI record last updated?

The NPPES record for Melissa Moore was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.