MRS. CHARLENE K MOORE PA-C
NPI 1639325376
Physician Assistant in Port St Lucie, FL

Active since August 13, 2008PECOS EnrolledAccepts Medicare Assignment
160 NW CENTRAL PARK PLZ STE 103, PORT ST LUCIE, FL 34986(772) 212-7636(772) 212-7625 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2022, Jul 21, 2022, Aug 4, 2017 (3 updates tracked since 2017).

About Mrs. Charlene K Moore Pa-c NPPES

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

MRS. CHARLENE K MOORE PA-C (NPI 1639325376) is an individual physician assistant in Port St Lucie, Florida, licensed in Florida (PA9107673) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639325376
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CHARLENE K MOORECredential: PA-C
Location Address160 NW CENTRAL PARK PLZ STE 103Port St Lucie, FL 34986-1825
Mailing Address160 Nw Central Park Plz Ste 103Port St Lucie, FL 34986-1825 · (772) 212-7636 · Fax (772) 212-7625
Fax(772) 212-7625
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 13, 2008
Last NPPES UpdateDecember 23, 20223 updates tracked since enumeration
NPPES CertifiedDecember 23, 2022
NPI 1639325376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9107673 Licensed in OH · 50002517
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
160 NW CENTRAL PARK PLZ STE 103, Port St Lucie, FL 34986

Other Names 1

Former Name (1)Ms. Charlene K Skubovius Pa-c

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

Mrs. Charlene K Moore Pa-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 ID7012066673
PECOS Enrollment IDI20140715002424
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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
176 services39 patients
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.
102 services53 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
81 services43 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
72 services49 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
43 services32 patients
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311
This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.
39 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 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
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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 Charlene Moore's NPI number?

The NPI number for Charlene Moore is 1639325376. It was assigned to this individual provider in the NPPES registry on August 13, 2008. The provider is also known as Ms. Charlene K Skubovius Pa-C.

Where is Charlene Moore located?

Charlene Moore practices at 160 NW Central Park Plz Ste 103, Port St Lucie, FL 34986. The listed phone number is (772) 212-7636.

What is Charlene Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charlene Moore enrolled in Medicare?

Yes. Charlene 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 Charlene Moore accept?

Health plans from UnitedHealthcare list Charlene 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 Charlene Moore was last updated on December 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.