SHAWANA MOORE DNP, APN-C
NPI 1992070551
Nurse Practitioner - Women's Health in Philadelphia, PA

Active since March 15, 2012PECOS Enrolled
1144 LOCUST ST, PHILADELPHIA, PA 19107(215) 351-5500 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2021, Aug 13, 2020, Aug 30, 2018 (3 updates tracked since 2018).

About Shawana Moore Dnp, Apn-c NPPES

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

SHAWANA MOORE DNP, APN-C (NPI 1992070551) is an individual women's health provider in Philadelphia, Pennsylvania, licensed in New Jersey (26NJ00368700) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1992070551
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSHAWANA MOORECredential: DNP, APN-C
Location Address1144 LOCUST STPhiladelphia, PA 19107
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Sole ProprietorYes
Enumeration DateMarch 15, 2012
Last NPPES UpdateFebruary 17, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1992070551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in NJ · 26NJ00368700✔ Licensed in PA · SP011936
1144 LOCUST ST, Philadelphia, PA 19107

Other Names 1

Former Name (1)Shawana Gray

Secondary Practice Location 1

Location 11601 Haddon AveCamden, NJ 08103-3109 · Phone (856) 757-3700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawana Moore Dnp, Apn-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Shawana Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Obstetrics & Gynecology
1144 LOCUST ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Women's Health)
1144 LOCUST ST
PHILADELPHIA, PA 19107
Obstetrics & Gynecology (Gynecology)
1144 LOCUST ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Obstetrics & Gynecology)
1144 LOCUST ST, PLANNED PARENTHOOD SOUTHEASTERN PA
PHILADELPHIA, PA 19107
Obstetrics & Gynecology (Gynecologic Oncology)
1144 LOCUST ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Women's Health)
1144 LOCUST ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Obstetrics & Gynecology)
1144 LOCUST ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Family)
1144 LOCUST ST
PHILADELPHIA, PA 19107

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 Shawana Moore's NPI number?

The NPI number for Shawana Moore is 1992070551. It was assigned to this individual provider in the NPPES registry on March 15, 2012. The provider is also known as Shawana Gray.

Where is Shawana Moore located?

Shawana Moore practices at 1144 Locust St, Philadelphia, PA 19107. The listed phone number is (215) 351-5500.

What is Shawana Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Shawana Moore enrolled in Medicare?

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

Which organization bills Medicare for Shawana Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawana Moore reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, GA). 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 Shawana Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shawana Moore was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.