TYLER HERCHELL MOORE NP
NPI 1801532106
Nurse Practitioner - Family in Rexburg, ID
About Tyler Herchell Moore Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER HERCHELL MOORE NP (NPI 1801532106) is an individual family provider in Rexburg, Idaho, licensed in Idaho (72632) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Tyler Herchell Moore Np 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 Tyler Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rexburg, ID 83440
- Reassigned Medicare billing, Idaho enrollment
- 40 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Idaho enrollment
- 74 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 11
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.
Madison Memorial Hospital
Acute Care Hospitals · Rexburg, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tyler Moore's NPI number?
The NPI number for Tyler Moore is 1801532106. It was assigned to this individual provider in the NPPES registry on May 10, 2022.
Where is Tyler Moore located?
Tyler Moore practices at 37 S 2nd E Ste 101, Rexburg, ID 83440. The listed phone number is (208) 356-0234.
What is Tyler Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tyler Moore enrolled in Medicare?
Yes. Tyler 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 Tyler Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Moore reassigns Medicare benefits to 2 organizations: Madison Co Memorial Hospital (Rexburg, ID) and Signify Health, LLC (Dallas, TX). 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 Tyler Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Moore accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Tyler 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 Tyler Moore affiliated with any hospitals?
According to CMS data, Tyler Moore is affiliated with Madison Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Tyler Moore was last updated on May 10, 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.
# Tyler Herchell Moore, NP · NPI 1801532106
Family physician in Rexburg, Idaho. Individual provider, active in the CMS NPPES registry since May 10, 2022.
## Identity
- **NPI:** 1801532106 (Entity type: Individual)
- **Enumerated:** May 10, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 72632 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 37 S 2ND E STE 101, Rexburg, ID 83440-1906
- **Phone:** (208) 356-0234
## 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): Madison Co Memorial Hospital (NPI 1730800897, Rexburg, ID); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 10, 2022
- **Other identifiers:** Other 72632 (ID)
---
Source: [NPI Profile](https://npiprofile.com/npi/1801532106) · Data from the CMS NPPES public registry.