KATIE C MOORE FNP-C
NPI 1679209472
Nurse Practitioner - Family in Conway, SC

Q: What is Katie Moore's NPI number?

The NPI number for Katie Moore is 1679209472. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Q: What is Katie Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Moore was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 26, 2022PECOS EnrolledAccepts Medicare Assignment

2996 E HIGHWAY 501, CONWAY, SC 29526(843) 347-2613 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Sep 14, 2022, Jul 29, 2022 (3 updates tracked since 2022).

On this page

About Katie C Moore Fnp-c NPPES

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

KATIE C MOORE FNP-C (NPI 1679209472) is an individual family provider in Conway, South Carolina, licensed in South Carolina (26350) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Myrtle Beach, and is a graduate of University Of Cincinnati College Of Medicine (2022).

NPPES Registry Identity

NPI1679209472

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATIE C MOORECredential: FNP-C

Location Address2996 E HIGHWAY 501Conway, SC 29526-9532

Mailing Address2996 E Highway 501Conway, SC 29526-9532 · (843) 347-2613

Phone(843) 347-2613

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2022

Enumeration DateJuly 26, 2022

Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1679209472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 26350

2996 E HIGHWAY 501, Conway, SC 29526

Open in Google Maps ↗

Secondary Practice Location 1

Location 12021 N Myrtle Point Blvd Ste 102North Myrtle Beach, SC 29582-2224 · Phone (843) 366-3060 · Fax (843) 366-3069

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

Katie C Moore Fnp-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 ID547636631

PECOS Enrollment IDI20221013003512

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 5

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.

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.

43 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

38 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services34 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

24 services24 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

DR. KAREN JEANETTE SMITH CRNP

Nurse Practitioner (Family)