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DR. STEPHANIE MOORE DNP, APRN, WHNP-BC
NPI 1942205083
Nurse Practitioner in Johnson City, TN

Active since June 16, 2005PECOS Enrolled
LAMONT STREET AND VETERANS WAY, JOHNSON CITY, TN 37604(423) 926-1171(423) 979-3591 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, Jan 12, 2016 (2 updates tracked since 2016).

About Dr. Stephanie Moore Dnp, Aprn, Whnp-bc NPPES

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

DR. STEPHANIE MOORE DNP, APRN, WHNP-BC (NPI 1942205083) is an individual nurse practitioner in Johnson City, Tennessee, licensed in Tennessee (7849) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942205083
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. STEPHANIE MOORECredential: DNP, APRN, WHNP-BC
Location AddressLAMONT STREET AND VETERANS WAYJohnson City, TN 37604
Mailing AddressPo Box 4000Mountain Home, TN 37684-4000 · (423) 926-1171 · Fax (423) 979-3591
Phone(423) 926-1171
Fax(423) 979-3591
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1942205083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 7849
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 122889 (TN)
LAMONT STREET AND VETERANS WAY, Johnson City, TN 37604
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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)

Dr. Stephanie Moore Dnp, Aprn, Whnp-bc 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 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

WHITNEY MARIE WARD
Physical Therapist
LAMONT STREET AND VETERANS WAY
JOHNSON CITY, TN 37604
Washington County (117) 142-3926
MRS. KELLEY FOSTER HAMMITT PA-C
Physician Assistant
LAMONT STREET AND VETERANS WAY
MOUNTAIN HOME, TN 37604
Washington County (423) 926-1171
RYAN BUCKLEY D.O.
Emergency Medicine
LAMONT STREET AND VETERANS WAY
JOHNSON CITY, TN 37604
Washington County (423) 926-1171

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 Stephanie Moore's NPI number?

The NPI number for Stephanie Moore is 1942205083. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Stephanie Moore located?

Stephanie Moore practices at Lamont Street And Veterans Way, Johnson City, TN 37604. The listed phone number is (423) 926-1171.

What is Stephanie Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stephanie Moore enrolled in Medicare?

Yes. Stephanie Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Moore was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.