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LYNNETTE MOORE M.D.
NPI 1669535951
Family Medicine in Norfolk, VA

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
7525 TIDEWATER DR STE 19, NORFOLK, VA 23505(757) 330-0150(877) 487-3044 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2026, Oct 7, 2025, Feb 19, 2025 and 1 more (4 updates tracked since 2023).

About Lynnette Moore M.d. NPPES

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

LYNNETTE MOORE M.D. (NPI 1669535951) is an individual family medicine provider in Norfolk, Virginia, licensed in Virginia (0101054405) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Southampton Memorial Hospital, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1669535951
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLYNNETTE MOORECredential: M.D.
Location Address7525 TIDEWATER DR STE 19Norfolk, VA 23505-3700
Mailing Address7525 Tidewater Dr Ste 19Norfolk, VA 23505-3700 · (757) 330-0150 · Fax (877) 487-3044
Phone(757) 330-0150
Fax(877) 487-3044
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 1995
Enumeration DateDecember 18, 2006
Last NPPES UpdateMarch 19, 20264 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1669535951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101054405
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7525 TIDEWATER DR STE 19, Norfolk, VA 23505
Open in Google Maps ↗

Secondary Practice Location 1

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-5000

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

Lynnette Moore M.d. 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 ID9537306444
PECOS Enrollment IDI20131120001043
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

2

Medicare enrollment records show Lynnette Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centerwell Senior Primary Care VA PLLC
Same address
Internal Medicine
7525 TIDEWATER DR STE 19
Norfolk, VA 23505
  • Reassigned Medicare billing, Virginia enrollment
  • 51 clinicians in this Medicare group
NPI 1568162808 (757) 330-0150
Bon Secours Medical Group Hampton Roads Primary Care LLC
82 mi
Internal Medicine
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 82 clinicians in this Medicare group
NPI 1528627379 (804) 627-5573

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

Hospital Affiliations CMS Care Compare

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

Bon Secours Southampton Memorial Hospital

Acute Care Hospitals · Franklin, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490092
Location100 Fairview Drive - PO Box 817Franklin, VA 23851 · Franklin City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23505 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 8

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

MS. ANITRA HUGHES
Nurse Practitioner (Gerontology)
7525 TIDEWATER DR STE 19
NORFOLK, VA 23505
Norfolk City (757) 330-0150
DR. HUMBERTO HENRIQUEZ M.D.
Internal Medicine
7525 TIDEWATER DR STE 19
NORFOLK, VA 23505
Norfolk City (757) 330-0150
DR. BEVERLY SUE ANDERSON ROBERTS DO
Internal Medicine
7525 TIDEWATER DR STE 19
NORFOLK, VA 23505
Norfolk City (757) 330-0150
CENTERWELL SENIOR PRIMARY CARE VA CS PC
Internal Medicine
7525 TIDEWATER DR STE 19
NORFOLK, VA 23505
Norfolk City (757) 330-0150
KIRSTIN H NEGRON DO
Family Medicine
7525 TIDEWATER DR STE 19
NORFOLK, VA 23505
Norfolk City (757) 330-0150
CENTERWELL SENIOR PRIMARY CARE VA PLLC
Internal Medicine
7525 TIDEWATER DR STE 19
NORFOLK, VA 23505
Norfolk City (757) 330-0150
LUANNE KEM LEWIS M.D.
Internal Medicine
7525 TIDEWATER DR STE 19
NORFOLK, VA 23505
Norfolk City (757) 330-0150
DISHA R. SHAH MD
Family Medicine
7525 TIDEWATER DR STE 19
NORFOLK, VA 23505
Norfolk City (757) 330-0150

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 Lynnette Moore's NPI number?

The NPI number for Lynnette Moore is 1669535951. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Lynnette Moore located?

Lynnette Moore practices at 7525 Tidewater Dr Ste 19, Norfolk, VA 23505. The listed phone number is (757) 330-0150.

What is Lynnette Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lynnette Moore enrolled in Medicare?

Yes. Lynnette 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 organizations bill Medicare for Lynnette Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynnette Moore reassigns Medicare benefits to 2 organizations: Centerwell Senior Primary Care VA PLLC (Norfolk, VA) and Bon Secours Medical Group Hampton Roads Primary Care LLC (Richmond, VA). Each 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 Lynnette Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lynnette Moore affiliated with any hospitals?

According to CMS data, Lynnette Moore is affiliated with Bon Secours Southampton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lynnette Moore was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.