MR. MARK MOORE CFNP
NPI 1962489567
Nurse Practitioner in Meridian, MS
About Mr. Mark Moore Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK MOORE CFNP (NPI 1962489567) is an individual nurse practitioner in Meridian, Mississippi, licensed in Mississippi (R669059) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Anderson Regional Medical Center, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mark Moore Cfnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houma, LA 70360
- Reassigned Medicare billing, Mississippi enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 14
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Anderson Regional Medical Center
Acute Care Hospitals · Meridian, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
MERIDIAN, MS 39301
MERIDIAN, MS 39301
MERIDIAN, MS 39301
MERIDIAN, MS 39301
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 Mark Moore's NPI number?
The NPI number for Mark Moore is 1962489567. It was assigned to this individual provider in the NPPES registry on December 27, 2005.
Where is Mark Moore located?
Mark Moore practices at 1600 22nd Ave Medical Towers III, Meridian, MS 39301. The listed phone number is (601) 483-5322.
What is Mark Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mark Moore enrolled in Medicare?
Yes. Mark Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Moore reassigns Medicare benefits to Cardiovascular Institute Of The South, LLC (Houma, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Moore accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Mark Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mark Moore affiliated with any hospitals?
According to CMS data, Mark Moore is affiliated with Anderson Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Mark Moore was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. Mark Moore, CFNP · NPI 1962489567
Nurse Practitioner physician in Meridian, Mississippi. Individual provider, active in the CMS NPPES registry since December 27, 2005.
## Identity
- **NPI:** 1962489567 (Entity type: Individual)
- **Enumerated:** December 27, 2005
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R669059 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 22ND AVE, MEDICAL TOWERS III, Meridian, MS 39301-3223
- **Phone:** (601) 483-5322 · **Fax:** (601) 581-2289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cardiovascular Institute Of The South, LLC (NPI 1982689113, Houma, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** June 2, 2011
- **Other identifiers:** Medicare UPIN S44129 (MS); Medicare ID-Type Unspecified 500001600 (MS); Medicaid 02904207 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1962489567) · Data from the CMS NPPES public registry.