KATIE JO MOOREFIELD TATE A-GNP
NPI 1720743404
Nurse Practitioner - Primary Care in Greensboro, NC

Active since November 08, 2021PECOS EnrolledAccepts Medicare Assignment
1511 WESTOVER TER, GREENSBORO, NC 27408(336) 373-0611 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katie Jo Moorefield Tate A-gnp NPPES

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

KATIE JO MOOREFIELD TATE A-GNP (NPI 1720743404) is an individual primary care provider in Greensboro, North Carolina, licensed in North Carolina (TATE-ZG5Q3) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720743404
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKATIE JO MOOREFIELD TATECredential: A-GNP
Location Address1511 WESTOVER TERGreensboro, NC 27408-7128
Mailing Address1511 Westover TerGreensboro, NC 27408-7128
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 8, 2021
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
NPI 1720743404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NC · TATE-ZG5Q3
1511 WESTOVER TER, Greensboro, NC 27408

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Katie Jo Moorefield Tate A-gnp 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 ID3577957158
PECOS Enrollment IDI20220224001119
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
64 services53 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
37 services33 patients
Influenza vaccine, quadrivalent derived from recombinant dna 90682
The quadrivalent influenza vaccine, made through recombinant DNA technology, is a flu shot that protects against four different flu viruses. This vaccine is produced by genetically modifying a virus, making it safer and more effective. It's a key tool in preventing flu-related illnesses.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27408 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 15

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

Internal Medicine (Cardiovascular Disease)
1511 WESTOVER TER, SUITE 201
GREENSBORO, NC 27408
Internal Medicine
1511 WESTOVER TER, SUITE 201
GREENSBORO, NC 27408
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1511 WESTOVER TER, SUITE 201
GREENSBORO, NC 27408
Internal Medicine (Rheumatology)
1511 WESTOVER TER, SUITE 201
GREENSBORO, NC 27408
Internal Medicine
1511 WESTOVER TER, SUITE 201
GREENSBORO, NC 27408
Internal Medicine
1511 WESTOVER TER, SUITE 201
GREENSBORO, NC 27408
Internal Medicine
1511 WESTOVER TER, SUITE 201
GREENSBORO, NC 27408
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1511 WESTOVER TER, SUITE 201
GREENSBORO, NC 27408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720743404, enumerated as an "individual" on November 08, 2021.

The provider is located at 1511 WESTOVER TER GREENSBORO, NC 27408 and the phone number is (336) 373-0611.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and. Please consult your insurance carrier or call the provider to verify.