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LYDIA MOORE
NPI 1982059317
Nurse Practitioner - Family in Lebanon, TN

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
100 PHYSICIANS WAY, SUITE 300, LEBANON, TN 37090(615) 449-6868(615) 449-7184 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Moore NPPES

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

LYDIA MOORE (NPI 1982059317) is an individual family provider in Lebanon, Tennessee, licensed in Tennessee (APN0000020896) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982059317
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYDIA MOORE
Location Address100 PHYSICIANS WAY, SUITE 300Lebanon, TN 37090-8102
Mailing Address1414 Riverbrook DrHermitage, TN 37076-3574 · (615) 604-4188
Phone(615) 449-6868
Fax(615) 449-7184
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 4, 2016
✔ NPI 1982059317 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 TN · APN0000020896
100 PHYSICIANS WAY, Lebanon, TN 37090
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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

Lydia Moore 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 ID6002195732
PECOS Enrollment IDI20161121000101
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 37090 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 20

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

MS. KRISTY M BLANEY RN, APRN
Nurse Practitioner
100 PHYSICIANS WAY, SUITE 250
LEBANON, TN 37090
Wilson County (615) 444-3307
MRS. KRISTINA MOORE PA-C
Physician Assistant (Surgical)
100 PHYSICIANS WAY, SUITE 110
LEBANON, TN 37090
Wilson County (615) 547-6700
MIDDLE TENNESSEE AND ADOLESCENT MEDICINE P.C.
Clinic/Center
100 PHYSICIANS WAY, SUITE 200
LEBANON, TN 37090
Wilson County (615) 449-5611
UAP LEBANON ENDO, LLC
Nurse Anesthetist, Certified Registered
100 PHYSICIANS WAY, STE 340
LEBANON, TN 37090
Wilson County (615) 466-9532
DR. SHAWN PATRICK MOUNTAIN D.O
Orthopaedic Surgery (Sports Medicine)
100 PHYSICIANS WAY, SUITE 110
LEBANON, TN 37090
Wilson County (615) 547-6700
JONATHAN PHILIP CORNELIUS MD
Orthopaedic Surgery
100 PHYSICIANS WAY, SUITE 110
LEBANON, TN 37090
Wilson County (615) 547-6700
LEBANON ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
100 PHYSICIANS WAY, SUITE 340
LEBANON, TN 37090
Wilson County (615) 446-9532
STACEY ATKINS FNP-C
Nurse Practitioner (Family)
100 PHYSICIANS WAY, SUITE 250
LEBANON, TN 37090
Wilson County (615) 444-3307

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 Lydia Moore's NPI number?

The NPI number for Lydia Moore is 1982059317. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Lydia Moore located?

Lydia Moore practices at 100 Physicians Way Suite 300, Lebanon, TN 37090. The listed phone number is (615) 449-6868.

What is Lydia Moore's specialty?

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

Is Lydia Moore enrolled in Medicare?

Yes. Lydia 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.

What insurance does Lydia Moore accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Lydia 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.

When was this NPI record last updated?

The NPPES record for Lydia Moore was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.