TINA L. MOORE APRN, BC-FNP
NPI 1851483523
Nurse Practitioner - Family in Sikeston, MO

Q: What is Tina Moore's NPI number?

The NPI number for Tina Moore is 1851483523. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Tina Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Moore was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 29, 2006PECOS Enrolled

1008 N MAIN ST, SIKESTON, MO 63801(573) 472-6001 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 24, 2018, Sep 20, 2017 (2 updates tracked since 2017).

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About Tina L. Moore Aprn, Bc-fnp NPPES

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

TINA L. MOORE APRN, BC-FNP (NPI 1851483523) is an individual family provider in Sikeston, Missouri, licensed in Missouri (141409) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851483523

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTINA L. MOORECredential: APRN, BC-FNP

Location Address1008 N MAIN STSikeston, MO 63801-5044

Mailing Address615 Main StNew Madrid, MO 63869-1513 · (573) 748-2546 · Fax (573) 472-7433

Phone(573) 472-6001

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateOctober 24, 20182 updates tracked since enumeration

✔ NPI 1851483523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MO · 141409

1008 N MAIN ST, Sikeston, MO 63801

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina L. Moore Aprn, Bc-fnp 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 63801 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

ERICA LEIGH WILSON APRN, FNP-BC

Nurse Practitioner (Family)