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

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: July 19, 2026.

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

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
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

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.

Surgery
1008 N MAIN ST
SIKESTON, MO 63801
Emergency Medicine
1008 N MAIN ST
SIKESTON, MO 63801
Physician Assistant (Medical)
1008 N MAIN ST
SIKESTON, MO 63801
Anesthesiology
1008 N MAIN ST
SIKESTON, MO 63801
Radiology (Diagnostic Radiology)
1008 N MAIN ST
SIKESTON, MO 63801
Nurse Practitioner
1008 N MAIN ST
SIKESTON, MO 63801
Radiology (Diagnostic Radiology)
1008 N MAIN ST, RADIOLOGY DEPARTMENT
SIKESTON, MO 63801
Specialist/Technologist (Athletic Trainer)
1008 N MAIN ST
SIKESTON, MO 63801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851483523, enumerated as an "individual" on September 29, 2006.

The provider is located at 1008 N MAIN ST SIKESTON, MO 63801 and the phone number is (573) 472-6001.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.