WHITNEY LEE MOORE DNP, PMHNP
NPI 1770150484
Nurse Practitioner - Psychiatric/Mental Health in Ammon, ID
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Whitney Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ammon, ID 83406
- Reassigned Medicare billing, Idaho enrollment
- 27 clinicians in this Medicare group
Ammon, ID 83406
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: Badger Inc
- 11 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.
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 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, IDPhysician 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.
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.
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 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.
Where is Whitney Moore located?
Whitney Moore practices at 1675 Curlew Dr, Ammon, ID 83406. The listed phone number is (208) 523-5319.
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.
Is Whitney Moore enrolled in Medicare?
Yes. Whitney 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 organizations bill Medicare for Whitney Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Moore reassigns Medicare benefits to 2 organizations: 4 Pillars Of Success LLC (Ammon, ID) and 4 Pillars Of Success LLC (Ammon, ID). Each 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 Whitney Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Whitney Moore accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Whitney 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 Whitney Moore affiliated with any hospitals?
According to CMS data, Whitney Moore is affiliated with Lost Rivers Medical Center.
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 5 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.
# Whitney Lee Moore, DNP, PMHNP · NPI 1770150484
Psychiatric/Mental Health physician in Ammon, Idaho. Individual provider, active in the CMS NPPES registry since June 10, 2021.
## Identity
- **NPI:** 1770150484 (Entity type: Individual)
- **Enumerated:** June 10, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** ID-58820 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1675 CURLEW DR, Ammon, ID 83406-4850
- **Phone:** (208) 523-5319 · **Fax:** (208) 523-5627
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): 4 Pillars Of Success LLC (NPI 1457698565, Ammon, ID); 4 Pillars Of Success LLC (NPI 1457698565, Ammon, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770150484) · Data from the CMS NPPES public registry.