LORI NICOLE MOORE NP - NPI 1922875210 - Nurse Practitioner in Williamsburg, VA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Lori Nicole Moore Np NPPES

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

LORI NICOLE MOORE NP (NPI 1922875210) is an individual family provider in Williamsburg, Virginia, licensed in Virginia (0024188896) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922875210

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLORI NICOLE MOORECredential: NP

Location Address4374 NEW TOWN AVE STE 200Williamsburg, VA 23188-2865

Mailing Address4374 New Town Ave Ste 200Williamsburg, VA 23188-2865 · (757) 984-6095

Phone(757) 984-6095

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 6, 2023

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1922875210 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 VA · 0024188896

4374 NEW TOWN AVE STE 200, Williamsburg, VA 23188

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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 and accepts Medicare assignment

Lori Nicole Moore Np 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 ID42659666

PECOS Enrollment IDI20240416001569

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490066

Location100 Sentara CircleWilliamsburg, VA 23188 · James City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 8

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

MRS. MEGAN CUTLER NP

Nurse Practitioner (Family)