KATHRYN MOORE PMHNP
NPI 1912726134
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Q: What is Kathryn Moore's NPI number?

The NPI number for Kathryn Moore is 1912726134. It was assigned to this individual provider in the NPPES registry on October 4, 2024.

Q: What is Kathryn Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Moore was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 04, 2024PECOS Enrolled

102 RIVERS EDGE RD, NEW YORK, NY 10035(646) 766-4979 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathryn Moore Pmhnp NPPES

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

KATHRYN MOORE PMHNP (NPI 1912726134) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (405945) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912726134

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATHRYN MOORECredential: PMHNP

Location Address102 RIVERS EDGE RDNew York, NY 10035-1163

Mailing Address102 Rivers Edge RdNew York, NY 10035-1163 · (646) 766-4979

Phone(646) 766-4979

Sole ProprietorYes

Enumeration DateOctober 4, 2024

Last NPPES UpdateJuly 23, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1912726134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 405945

102 RIVERS EDGE RD, New York, NY 10035

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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)

Kathryn Moore Pmhnp 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 10035 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

DR. JAMES BEACHER PSYD

Psychologist