Deanna Shatrice Moore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5017759 Issued in NC

Practice address

1328 West Broad Street
Elizabethtown, NC 28337

Phone

(910) 828-1119

NPI assigned

Feb 16, 2023

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bladen Healthcare LLCGroup PAC ID 6800967969, 41 clinicians

Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Fear Valley-Bladen County Hospital Hospital, Elizabethtown, NC, CCN 341315

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmoore126262@capefearvalley.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bladen Healthcare LLC

  dba Cape Fear Valley Bladen County Hospital

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Medicare reassignment Care Compare group NPD
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Orthopedics & Sports Medicine of Cape Fear Valley Health

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1235957655
  Medicare reassignment Care Compare group NPD
• Carolina Quickcare Family Practice, PLLC

  dba Carolina QuickCare Family Practice

  • Internal Medicine Physician
  • Biscoe, NC
  • NPI 1881360899
  Medicare reassignment NPD
• Bladen Healthcare LLC

  dba Bladen Express Care

  • Rural Health Clinic/Center
  • Elizabethtown, NC
  • NPI 1114269677
  NPD
• Bladen Healthcare LLC

  dba CFV Primary Care-Vineland Family Medicine

  • Rural Health Clinic/Center
  • Whiteville, NC
  • NPI 1821764390
  NPD
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Valley Orthopedic Spine Specialists

  • Orthopaedic Surgery of the Spine Physician
  • Fayetteville, NC
  • NPI 1568315554
  NPD
• Cape Fear Valley Health Medical Group LLC

  dba SameDay Medical

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1992682116
  NPD
• Bladen Healthcare, LLC

  dba Cape Fear Valley BMA Hospitalists

  • Hospitalist Physician
  • Elizabethtown, NC
  • NPI 1689018756
  NPD (past)
• Bladen Medical Associates

  • Family Medicine Physician
  • Elizabethtown, NC
  • NPI 1457469165
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bladen Healthcare LLC

  dba Cape Fear Valley Bladen County Hospital

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1124726526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 COLTS PRIDE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 WEST BROAD STREET",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-828-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042425",
            "country_code": "US",
            "telephone_number": "910-609-3780",
            "fax_number": "910-615-9663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379375",
            "country_code": "US",
            "telephone_number": "910-862-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-862-2122",
            "fax_number": "910-862-1279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 E Dunham St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283374300",
            "country_code": "US",
            "telephone_number": "910-862-2122",
            "fax_number": "910-862-1279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEANNA",
        "middle_name": "SHATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017759",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "MOORE-38S85",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missions Unlimited, LLC
• Modern Wellness PLLC
• Monarch
• Bryan Monroe, FNP
• Crystal Baxley Moore
• Stacey Marie Morrison
• Donald Natale, P.A.
• Native Angels Home Care Agency Inc
• New Opportunites of Bladen County Inc.
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #05508)

• Family Nurse Practitioner in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.