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SIMONA LYDIA MOORE C.N.P.
NPI 1679502181
Nurse Practitioner - Family in Mount Vernon, OH

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
206 S MULBERRY ST STE A, MOUNT VERNON, OH 43050(330) 473-2569(740) 326-1175 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Feb 14, 2018 (2 updates tracked since 2018).

About Simona Lydia Moore C.n.p. NPPES

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

SIMONA LYDIA MOORE C.N.P. (NPI 1679502181) is an individual family provider in Mount Vernon, Ohio, licensed in Ohio (NP4502) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1679502181
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIMONA LYDIA MOORECredential: C.N.P.
Location Address206 S MULBERRY ST STE AMount Vernon, OH 43050-3331
Mailing Address206 S Mulberry St Ste AMount Vernon, OH 43050-3331 · (740) 326-1231 · Fax (740) 326-1175
Phone(330) 473-2569
Fax(740) 326-1175
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJune 30, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1679502181 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
Licenses✔ Licensed in OH · NP4502✔ Licensed in OH · RN.232279-COA1
206 S MULBERRY ST STE A, Mount Vernon, OH 43050
Open in Google Maps ↗

Other Identifiers 1

Medicaid2271796OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Simona Lydia Moore C.n.p. 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 ID3072646116
PECOS Enrollment IDI20100727000321
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.

Hospital Affiliations CMS Care Compare

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

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Appropriate Treatment for Children with Upper Respiratory Infection (URI)
Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode
97%121 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
90%7,950 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%2,937 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
10%1,845 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 1,939 patients
Patients tobacco: 95% · 110 patients
57%661 patients3/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 6% · 459 patients
7%459 patients3/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
97%546 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers23 claims30 services$6.59 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims27 services$16.92 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$109.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

REVIVE BEHAVIORAL HEALTH, LLC
Nurse Practitioner (Psychiatric/Mental Health)
206 S MULBERRY ST STE A
MOUNT VERNON, OH 43050
Knox County (740) 501-4836
MRS. JACQUELINE JEAN PACK
Social Worker
206 S MULBERRY ST STE A
MOUNT VERNON, OH 43050
Knox County (740) 326-9988
BRITNEY MCPEEK APRN
Nurse Practitioner (Psychiatric/Mental Health)
206 S MULBERRY ST STE A
MOUNT VERNON, OH 43050
Knox County (740) 326-1231
JORDAN RUSSELL MOORE
Nurse Practitioner (Psychiatric/Mental Health)
206 S MULBERRY ST STE A
MOUNT VERNON, OH 43050
Knox County (740) 326-9988

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 Simona Moore's NPI number?

The NPI number for Simona Moore is 1679502181. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Simona Moore located?

Simona Moore practices at 206 S Mulberry St Ste A, Mount Vernon, OH 43050. The listed phone number is (330) 473-2569.

What is Simona Moore's specialty?

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

Is Simona Moore enrolled in Medicare?

Yes. Simona 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 Simona Moore accept?

Health plans from CareSource and MedMutual list Simona 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.

Is Simona Moore affiliated with any hospitals?

According to CMS data, Simona Moore is affiliated with Knox Community Hospital.

When was this NPI record last updated?

The NPPES record for Simona Moore was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.