VICTORIA A MOORE PAC
NPI 1912988650
Physician Assistant - Medical in Olympia, WA

Q: What is Victoria Moore's NPI number?

The NPI number for Victoria Moore is 1912988650. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is Victoria Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Moore was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 09, 2005PECOS Enrolled

209 LILLY RD NE, OLYMPIA, WA 98506(360) 413-8250(360) 413-8830 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Apr 21, 2021, Oct 29, 2020 and 5 more (8 updates tracked since 2017).

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About Victoria A Moore Pac NPPES

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

VICTORIA A MOORE PAC (NPI 1912988650) is an individual medical provider in Olympia, Washington, licensed in Washington (PA10003474) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1912988650

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameVICTORIA A MOORECredential: PAC

Location Address209 LILLY RD NEOlympia, WA 98506-5197

Mailing Address209 Lilly Rd NeOlympia, WA 98506-5197 · (360) 413-8250 · Fax (360) 413-8830

Phone(360) 413-8250

Fax(360) 413-8830

Sole ProprietorNo

Enumeration DateNovember 9, 2005

Last NPPES UpdateMarch 7, 20238 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1912988650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA10003474

Also ListedPhysician AssistantTaxonomy 363A00000X

209 LILLY RD NE, Olympia, WA 98506

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Secondary Practice Location 1

Location 1500 Lilly Rd NE, suite 204Olympia, WA 98506-5195 · Phone (360) 413-8250 · Fax (360) 413-8830

Other Identifiers 1

OtherPA10003474WA · Pa Lisence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria A Moore Pac 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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services32 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

26 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services23 patients

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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. BENJAMIN F MERRIFIELD MD

Internal Medicine (Gastroenterology)