MS. SAMANTHA GERMAINE MOORE N.P.
NPI 1760927040
Nurse Practitioner - Acute Care in Fort Worth, TX

Active since December 22, 2016PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104(817) 250-4906 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2022, Mar 23, 2020, Oct 28, 2019 and 3 more (6 updates tracked since 2016).

About Ms. Samantha Germaine Moore N.p. NPPES

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

MS. SAMANTHA GERMAINE MOORE N.P. (NPI 1760927040) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (AP132837) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760927040
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. SAMANTHA GERMAINE MOORECredential: N.P.
Location Address1300 W TERRELL AVE STE K230Fort Worth, TX 76104-3104
Mailing Address1300 W Terrell Ave Ste K230Fort Worth, TX 76104-3104 · (817) 250-4906
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 22, 2016
Last NPPES UpdateMay 6, 20226 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
NPI 1760927040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · AP132837
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP132837 (TX)
1300 W TERRELL AVE STE K230, Fort Worth, TX 76104

Other Names 1

Former Name (1)Samantha Germaine Jackson N.p.

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

Ms. Samantha Germaine Moore 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 ID3476835216
PECOS Enrollment IDI20170131001044
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 3

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
59 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 31 patients
100%33 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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine (Hospice and Palliative Medicine)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104

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 Samantha Moore's NPI number?

The NPI number for Samantha Moore is 1760927040. It was assigned to this individual provider in the NPPES registry on December 22, 2016. The provider is also known as Samantha Germaine Jackson N.P..

Where is Samantha Moore located?

Samantha Moore practices at 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104. The listed phone number is (817) 250-4906.

What is Samantha Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Samantha Moore enrolled in Medicare?

Yes. Samantha 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 Samantha Moore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Samantha 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 Samantha Moore affiliated with any hospitals?

According to CMS data, Samantha Moore is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Samantha Moore was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.