Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIKKI LYNN MOORE APRN
NPI 1881158434
Nurse Practitioner - Family in Grayson, KY

Active since January 29, 2019Opted out of Medicare · through Oct 1, 2027
535 E MAIN ST, GRAYSON, KY 41143(606) 314-0053(606) 212-0226 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Sep 8, 2025, Jan 29, 2019 (3 updates tracked since 2019).

About Nikki Lynn Moore Aprn NPPES

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

NIKKI LYNN MOORE APRN (NPI 1881158434) is an individual family provider in Grayson, Kentucky, licensed in Kentucky (3013092) and active in the NPI registry since January 2019. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881158434
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIKKI LYNN MOORECredential: APRN
Location Address535 E MAIN STGrayson, KY 41143-1444
Mailing Address535 E Main StGrayson, KY 41143-1444 · (606) 314-0053 · Fax (606) 898-2074
Fax(606) 212-0226
Sole ProprietorYes
Enumeration DateJanuary 29, 2019
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
NPI 1881158434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3013092
Also ListedNurse PractitionerTaxonomy 363L00000X · License 113996 (WV)
535 E MAIN ST, Grayson, KY 41143

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nikki Lynn Moore Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41143 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

Nurse Practitioner (Family)
535 E MAIN ST
GRAYSON, KY 41143

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 Nikki Moore's NPI number?

The NPI number for Nikki Moore is 1881158434. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Nikki Moore located?

Nikki Moore practices at 535 E Main St, Grayson, KY 41143. The listed phone number is (606) 314-0053.

What is Nikki Moore's specialty?

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

Is Nikki Moore enrolled in Medicare?

No. Nikki Moore has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nikki Moore was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.