Elizabeth M Moore, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024181056 Issued in VA

Practice address

332 N Henry St
Williamsburg, VA 23185-4117

Phone

(757) 220-1246

Fax

(757) 220-0835

NPI assigned

Nov 19, 2019

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth M Smith Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Merit-based Incentive Payment System (MIPS)

Final score

83.95 of 100Reported as group

Quality

69.91

Promoting interoperability

99

Improvement activities

40

Cost

77.42

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elizabeth.moore.1@30520.direct.athenahealth.com
• Direct secure messaging: elizabeth.smith@fmc.directbygreenway.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.

• Adventhealth Family Medicine Rural Health Clinics, Inc.

  • Rural Health Clinic/Center
  • Copperas Cove, TX
  • NPI 1699332338
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1841836566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 N HENRY ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854117",
            "telephone_number": "757-220-1246",
            "fax_number": "757-220-0835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 PR 4060",
            "address_purpose": "LOCATION",
            "city": "Lampasas",
            "state": "TX",
            "postal_code": "76550",
            "country_code": "US",
            "telephone_number": "512-734-0457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142597",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greenway",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "187 PR 4060",
            "city": "Lampasas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SMITH",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Phillip Moniz, MD
• Ryan Monteith
• Angelica Monteverde, PSYD
• Lehman Montgomery Jr.
• Michael Salvatore Montileone, MD
• Jesalyn Moore, LCSW, LSATP, CAADC
• Lori Nicole Moore, NP
• Ryan Moore
• Morgan Walker, PHD, LPC, NCC, LLC
• Alexa Joy Morgan, FNP

• Family Nurse Practitioner in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.