SHANTRAE MOORE
NPI 1992258131
Nurse Practitioner - Family in Houston, TX

Q: What is Shantrae Moore's NPI number?

The NPI number for Shantrae Moore is 1992258131. It was assigned to this individual provider in the NPPES registry on July 24, 2016.

Q: What is Shantrae Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shantrae Moore was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since July 24, 2016PECOS Enrolled

5603 FM 1960 RD W, HOUSTON, TX 77069(281) 397-4030(281) 397-0604 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2026, Mar 28, 2018, Mar 23, 2017 (3 updates tracked since 2017).

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About Shantrae Moore NPPES

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

SHANTRAE MOORE (NPI 1992258131) is an individual family provider in Houston, Texas, licensed in Texas (757931) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992258131

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANTRAE MOORE

Location Address5603 FM 1960 RD WHouston, TX 77069-4219

Mailing Address5603 Fm 1960 Rd WHouston, TX 77069-4219 · (281) 397-4030 · Fax (281) 397-0604

Phone(281) 397-4030

Fax(281) 397-0604

Sole ProprietorNo

Enumeration DateJuly 24, 2016

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1992258131 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 TX · 757931

5603 FM 1960 RD W, Houston, TX 77069

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Shantrae Moore 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 77069 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

ASHLYE BRYANT FNP-C

Nurse Practitioner (Family)