ANGELA VICTORIA MOORE MSN, FNP-C, PMHNP-BC
NPI 1861155178
Nurse Practitioner - Psychiatric/Mental Health in Marquette, MI

Active since October 14, 2021PECOS EnrolledAccepts Medicare Assignment
850 W BARAGA AVE, MARQUETTE, MI 49855(906) 449-1600 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2024, May 16, 2024, Oct 14, 2021 (3 updates tracked since 2021).

About Angela Victoria Moore Msn, Fnp-c, Pmhnp-bc NPPES

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

ANGELA VICTORIA MOORE MSN, FNP-C, PMHNP-BC (NPI 1861155178) is an individual psychiatric/mental health provider in Marquette, Michigan, licensed in Michigan (4704290287) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861155178
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGELA VICTORIA MOORECredential: MSN, FNP-C, PMHNP-BC
Location Address850 W BARAGA AVEMarquette, MI 49855-4550
Mailing Address1301 Ryan Ave Apt 4Marquette, MI 49855-1281 · (586) 202-3763
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 14, 2021
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1861155178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 4704290287
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704290287 (MI)
850 W BARAGA AVE, Marquette, MI 49855

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angela Victoria Moore Msn, Fnp-c, Pmhnp-bc 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 ID8022408657
PECOS Enrollment IDI20211214000858
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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
850 W BARAGA AVE
MARQUETTE, MI 49855
Physician Assistant
850 W BARAGA AVE
MARQUETTE, MI 49855
Radiology (Diagnostic Radiology)
850 W BARAGA AVE
MARQUETTE, MI 49855
Emergency Medicine
850 W BARAGA AVE
MARQUETTE, MI 49855
Nurse Practitioner (Family)
850 W BARAGA AVE
MARQUETTE, MI 49855
Nurse Practitioner
850 W BARAGA AVE
MARQUETTE, MI 49855
Pediatrics (Neonatal-Perinatal Medicine)
850 W BARAGA AVE
MARQUETTE, MI 49855
Nurse Practitioner (Gerontology)
850 W BARAGA AVE
MARQUETTE, MI 49855

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 Angela Moore's NPI number?

The NPI number for Angela Moore is 1861155178. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Where is Angela Moore located?

Angela Moore practices at 850 W Baraga Ave, Marquette, MI 49855. The listed phone number is (906) 449-1600.

What is Angela Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Angela Moore enrolled in Medicare?

Yes. Angela 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.

When was this NPI record last updated?

The NPPES record for Angela Moore was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.