SHERONDA CHANTELL MOORE MSOT, OTR/L
NPI 1730544842
Counselor - Mental Health in Fort Wayne, IN

Active since December 17, 2015PECOS EnrolledAccepts Medicare Assignment
7136 GETTYSBURG PIKE, FORT WAYNE, IN 46804(260) 745-3322 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sheronda Chantell Moore Msot, Otr/l NPPES

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

SHERONDA CHANTELL MOORE MSOT, OTR/L (NPI 1730544842) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (88001256A) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730544842
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHERONDA CHANTELL MOORECredential: MSOT, OTR/L
Location Address7136 GETTYSBURG PIKEFort Wayne, IN 46804-5680
Mailing Address8040 Upland CtIndianapolis, IN 46278-9585 · (803) 837-2652
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 17, 2015
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1730544842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 88001256A
Also ListedOccupational TherapistTaxonomy 225X00000X · License 9065 (NC), 3992 (SC)
7136 GETTYSBURG PIKE, Fort Wayne, IN 46804

Accepted Insurance

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

Sheronda Chantell Moore Msot, Otr/l 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 ID1355644121
PECOS Enrollment IDI20251201001643
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 Reassignment

Medicare enrollment records show Sheronda Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
4150 ILLINOIS RD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group

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

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 Sheronda Moore's NPI number?

The NPI number for Sheronda Moore is 1730544842. It was assigned to this individual provider in the NPPES registry on December 17, 2015.

Where is Sheronda Moore located?

Sheronda Moore practices at 7136 Gettysburg Pike, Fort Wayne, IN 46804. The listed phone number is (260) 745-3322.

What is Sheronda Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sheronda Moore enrolled in Medicare?

Yes. Sheronda 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 organization bills Medicare for Sheronda Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheronda Moore reassigns Medicare benefits to Crosswinds Inc (Fort Wayne, IN). The 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 Sheronda Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheronda Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Sheronda 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.

When was this NPI record last updated?

The NPPES record for Sheronda Moore was last updated on March 29, 2024. 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.