WHITNEY LEE MOORE DNP, PMHNP
NPI 1770150484
Nurse Practitioner - Psychiatric/Mental Health in Ammon, ID

Q: What is Whitney Moore's NPI number?

The NPI number for Whitney Moore is 1770150484. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Q: What is Whitney Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Whitney Moore was last updated on October 5, 2021. 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.

Active since June 10, 2021PECOS EnrolledAccepts Medicare Assignment

1675 CURLEW DR, AMMON, ID 83406(208) 523-5319(208) 523-5627 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2021, Jun 10, 2021 (2 updates tracked since 2021).

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About Whitney Lee Moore Dnp, Pmhnp NPPES

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

WHITNEY LEE MOORE DNP, PMHNP (NPI 1770150484) is an individual psychiatric/mental health provider in Ammon, Idaho, licensed in Idaho (ID-58820) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Lost Rivers Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770150484

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameWHITNEY LEE MOORECredential: DNP, PMHNP

Location Address1675 CURLEW DRAmmon, ID 83406-4850

Mailing AddressPo Box 2106Idaho Falls, ID 83403-2106

Phone(208) 523-5319

Fax(208) 523-5627

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 10, 2021

Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration

NPPES CertifiedOctober 5, 2021

✔ NPI 1770150484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ID · ID-58820

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License ID-58820 (ID)

1675 CURLEW DR, Ammon, ID 83406

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.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

Whitney Lee Moore Dnp, Pmhnp 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 ID5991101297

PECOS Enrollment IDI20210913001813

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.

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.

84 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

34 services11 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

32 services11 patients

Hospital Affiliations CMS Care Compare

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

Lost Rivers Medical Center

Critical Access Hospitals · Arco, ID

OwnershipGovernment - Hospital District or Authority

CMS Certification Number131324

Location551 Highland DriveArco, ID 83213 · Butte County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83406 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

SONJA JOHNSON LPC

Counselor (Professional)