KATIE SCIANNA MOORE CPNP-PC
NPI 1821697210
Nurse Practitioner - Pediatrics in Hattiesburg, MS

Q: What is Katie Moore's NPI number?

The NPI number for Katie Moore is 1821697210. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Q: What is Katie Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Katie Moore was last updated on October 19, 2020. 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.

Active since October 19, 2020PECOS Enrolled

4210 LINCOLN RD, HATTIESBURG, MS 39402(601) 261-3500(601) 261-3583 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Katie Scianna Moore Cpnp-pc NPPES

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

KATIE SCIANNA MOORE CPNP-PC (NPI 1821697210) is an individual pediatrics provider in Hattiesburg, Mississippi, licensed in Mississippi (903811) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821697210

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKATIE SCIANNA MOORECredential: CPNP-PC

Location Address4210 LINCOLN RDHattiesburg, MS 39402-3093

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 261-3500 · Fax (601) 579-5240

Phone(601) 261-3500

Fax(601) 261-3583

Sole ProprietorNo

Enumeration DateOctober 19, 2020

NPPES CertifiedOctober 19, 2020

✔ NPI 1821697210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MS · 903811

4210 LINCOLN RD, Hattiesburg, MS 39402

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Scianna Moore Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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 10

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

MEGAN DILLON MD

Pediatrics