MICHAELA L. MOORE NP
NPI 1821625773
Nurse Practitioner in Meridian, MS

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
1314 19TH AVE, MERIDIAN, MS 39301(601) 703-9480 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2020, Mar 23, 2020 (2 updates tracked since 2020).

About Michaela L. Moore Np NPPES

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

MICHAELA L. MOORE NP (NPI 1821625773) is an individual nurse practitioner in Meridian, Mississippi, licensed in Mississippi (903902) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Ochsner Laird Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821625773
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHAELA L. MOORECredential: NP
Location Address1314 19TH AVEMeridian, MS 39301-4116
Mailing AddressPo Box 5392Meridian, MS 39302-5392 · (601) 703-4379 · Fax (601) 703-9283
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateApril 24, 20202 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
✔ NPI 1821625773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 903902
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1314 19TH AVE, Meridian, MS 39301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Michaela L. 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.

PECOS PAC ID5193156826
PECOS Enrollment IDI20200513003380
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 Reassignments

3

Medicare enrollment records show Michaela Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1314 19TH AVE
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 349 clinicians in this Medicare group
Rural Health
1710 14TH ST
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 91 clinicians in this Medicare group
Rural Health
1221 24TH AVE
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • Also billed through NPI 1518924752 (Mississippi)
  • 106 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.

Hospital Affiliations CMS Care Compare

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

Ochsner Laird Hospital

Critical Access Hospitals · Union, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251322
Location25117 Highway 15Union, MS 39365 · Neshoba County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39301 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Hospitalist
1314 19TH AVE
MERIDIAN, MS 39301
Long Term Care Hospital
1314 19TH AVE
MERIDIAN, MS 39301
Anesthesiology (Pain Medicine)
1314 19TH AVE
MERIDIAN, MS 39301
Internal Medicine (Critical Care Medicine)
1314 19TH AVE
MERIDIAN, MS 39301
Occupational Therapist
1314 19TH AVE
MERIDIAN, MS 39301
Physical Therapist
1314 19TH AVE
MERIDIAN, MS 39301
Internal Medicine (Pulmonary Disease)
1314 19TH AVE
MERIDIAN, MS 39301
Family Medicine
1314 19TH AVE
MERIDIAN, MS 39301

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 Michaela Moore's NPI number?

The NPI number for Michaela Moore is 1821625773. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Michaela Moore located?

Michaela Moore practices at 1314 19th Ave, Meridian, MS 39301. The listed phone number is (601) 703-9480.

What is Michaela Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michaela Moore enrolled in Medicare?

Yes. Michaela 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 Michaela Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Moore reassigns Medicare benefits to 3 organizations: Medical Foundation, Inc. (Meridian, MS), Kemper Cah, Inc (Meridian, MS) and Laird Hospital, Inc (Meridian, MS). 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 Michaela Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michaela Moore accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Michaela 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 Michaela Moore affiliated with any hospitals?

According to CMS data, Michaela Moore is affiliated with Ochsner Laird Hospital.

When was this NPI record last updated?

The NPPES record for Michaela Moore was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.