SHAHEDA NIA MOORE NP
NPI 1669036323
Nurse Practitioner - Critical Care Medicine in Yonkers, NY

Q: What is Shaheda Moore's NPI number?

The NPI number for Shaheda Moore is 1669036323. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Q: What is Shaheda Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Shaheda Moore was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment

340 S BROADWAY, YONKERS, NY 10705(914) 968-5125(914) 968-5123 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2026, Aug 30, 2023, Apr 29, 2019 (3 updates tracked since 2019).

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About Shaheda Nia Moore Np NPPES

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

SHAHEDA NIA MOORE NP (NPI 1669036323) is an individual critical care medicine provider in Yonkers, New York, licensed in New York (432227) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669036323

Entity TypeIndividualFemale

Primary Taxonomy363LC0200X

Provider Legal NameSHAHEDA NIA MOORECredential: NP

Location Address340 S BROADWAYYonkers, NY 10705-2049

Mailing Address746 Mamaroneck Ave Apt 1410Mamaroneck, NY 10543-1990 · (917) 371-3334

Phone(914) 968-5125

Fax(914) 968-5123

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 29, 2019

Last NPPES UpdateJanuary 16, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1669036323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in NY · 432227

340 S BROADWAY, Yonkers, NY 10705

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Secondary Practice Locations 2

Location 11 Bridge StArdsley, NY 10502-2136 · Phone (914) 639-8787

Location 2174 Grand StWhite Plains, NY 10601-4803 · Phone (914) 328-6080

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

Shaheda Nia Moore Np 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 ID6901131127

PECOS Enrollment IDI20220527000528

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 Reassignments

Medicare enrollment records show Shaheda Moore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Progressive Care Medical Group, PLLC

10 mi

Internal Medicine

150 RIVERSIDE DR
New York, NY 10024

Reassigned Medicare billing, New York enrollment
75 clinicians in this Medicare group

NPI 1295263796 (800) 860-3274

Nys Medical Associate PLLC

14 mi

Internal Medicine

65-11 BOOTH STREET, SUITE 1C
Rego Park, NY 11374

Reassigned Medicare billing, New York enrollment
79 clinicians in this Medicare group

NPI 1104268572 (718) 806-1434

Parcare Community Health Network Inc

16 mi

Multi-Specialty

445 PARK AVE
Brooklyn, NY 11205

Reassigned Medicare billing, New York enrollment
193 clinicians in this Medicare group

NPI 1730454083 (718) 963-0800

Rd Medical Professional Services PC

25 mi

Family Medicine

260 CHRISTOPHER LN STE 102A
Staten Island, NY 10314

Reassigned Medicare billing, New York enrollment
43 clinicians in this Medicare group

NPI 1811643166 (914) 295-9323

Infinite Medical PC

146 mi

Family Medicine

7 CREEK LN
Bristol, RI 02809

Reassigned Medicare billing, New Jersey enrollment
61 clinicians in this Medicare group

NPI 1407483175 (718) 964-6161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

518 services109 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

100 services100 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

44 services29 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330304

Location41 East Post R0adWhite Plains, NY 10601 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10705 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 17

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

JEEJO JOSEPH PT

Physical Therapist