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

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: October 25, 2026.

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
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Katie Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hattiesburg Clinic PA
Same address
Pediatrics
4210 LINCOLN RD
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group
NPI 1730276098 (601) 261-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
4210 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 261-3500
DR. MARLA TURNER CHAPMAN M.D.
Pediatrics
4210 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 261-3500
DR. APRILE CLAIRE GILMORE M.D.
Pediatrics
4210 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 261-3500
LAUREN SHORT ERP
Psychologist (Clinical Child & Adolescent)
4210 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 261-3500
JEREMY CLARK SCREWS M.D.
Pediatrics (Pediatric Gastroenterology)
4210 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 261-3500
MATTHEW DEAN JACKSON MD
Pediatrics
4210 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 261-3500
RACHAEL KUEHN THORNTON MD
Pediatrics
4210 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 261-3500
DR. YAKEYLA NAVE NAYLOR M.D.
Pediatrics
4210 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 261-3500

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 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.

Where is Katie Moore located?

Katie Moore practices at 4210 Lincoln Rd, Hattiesburg, MS 39402. The listed phone number is (601) 261-3500.

What is Katie Moore's specialty?

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

Is Katie Moore enrolled in Medicare?

Yes. Katie Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Moore reassigns Medicare benefits to Hattiesburg Clinic PA (Hattiesburg, MS). The 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 Katie Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Moore accept?

Health plans from Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Katie 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.

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 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.