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MEREDITH MOORE
NPI 1639777972
Physician Assistant in Norwich, CT

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Dec 21, 2020, Oct 9, 2020 (3 updates tracked since 2020).

About Meredith Moore NPPES

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

MEREDITH MOORE (NPI 1639777972) is an individual physician assistant in Norwich, Connecticut, licensed in (1176569) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Mercy College (2020).

NPPES Registry Identity

NPI1639777972
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEREDITH MOORE
Location Address47 TOWN STNorwich, CT 06360-2323
Mailing Address47 Town StNorwich, CT 06360-2323 · (860) 892-7042
Phone(860) 892-7042
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2020
Enumeration DateOctober 9, 2020
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1639777972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 1176569
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.
47 TOWN ST, Norwich, CT 06360
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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

Meredith 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 ID9335674621
PECOS Enrollment IDI20241122003482
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 06360 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

DAVID HEVEY
Student in an Organized Health Care Education/Training Program
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7042
JULIE A MARTIN LCSW
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7042
MRS. LISA GARVEY HARRISON APRN
Nurse Practitioner (Psychiatric/Mental Health)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-4193
PAULA RODRIGUEZ-PRANAITIS
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (413) 846-0445
DANIELLE JUDITH LAPRADE LMHC
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 822-2805
NICOLE GODBOUT MSW
Social Worker
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7042
STACY MESYNA LCSW
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7042
MICHELLE GIENAU LCSW
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7040

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 Meredith Moore's NPI number?

The NPI number for Meredith Moore is 1639777972. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Meredith Moore located?

Meredith Moore practices at 47 Town St, Norwich, CT 06360. The listed phone number is (860) 892-7042.

What is Meredith Moore's specialty?

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

Is Meredith Moore enrolled in Medicare?

Yes. Meredith 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 Meredith Moore was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.