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MARY A MOORE NP
NPI 1972598753
Nurse Practitioner - Family in West Bend, WI

Active since September 16, 2005PECOS Enrolled
3801 DECORAH RD, WEST BEND, WI 53095(704) 529-6161 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, Nov 12, 2015 (2 updates tracked since 2015).

About Mary A Moore Np NPPES

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

MARY A MOORE NP (NPI 1972598753) is an individual family provider in West Bend, Wisconsin, licensed in Wisconsin (1744-33) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972598753
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY A MOORECredential: NP
Location Address3801 DECORAH RDWest Bend, WI 53095-9597
Mailing Address3801 Decorah RdWest Bend, WI 53095-9597 · (704) 529-6161
Phone(704) 529-6161
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1972598753 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 WI · 1744-33
3801 DECORAH RD, West Bend, WI 53095
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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)

Mary A Moore Np 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 53095 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1972598753. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Mary Moore located?

Mary Moore practices at 3801 Decorah Rd, West Bend, WI 53095. The listed phone number is (704) 529-6161.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on May 6, 2024. 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.