Individual provider Active NPI

Desiree Young Moore, NP

  • Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1942332812
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
522797 Issued in TX
Practice address
3002 Sam Houston Dr
Victoria, TX 77904-2682
Phone
(361) 578-5730
Fax
(361) 578-4511
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 522797 TX Primary

Addresses

Primary practice location

3002 Sam Houston Dr
Victoria, TX 77904-2682

Mailing address

3002 Sam Houston Dr
Victoria, TX 77904-2682
Phone (361) 578-5730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20051031000923 TX Practitioner - Nurse Practitioner 4688691447 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucp Physicians of Central Texas, PLLCGroup PAC ID 3173697935, 99 clinicians

Practice addresses (Care Compare)

108 Twin Fountains Dr
Victoria, TX 77904-4203
Phone (361) 578-3363

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

3002 Sam Houston Dr
Victoria, TX 77904-2682
Phone (361) 578-5730

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

Merit-based Incentive Payment System (MIPS)

Final score
95.72 of 100Reported as group
Quality
91.03
Improvement activities
40
Cost
86.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
522797TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Emergency Associates LLC CurrentSince Jun 1, 2016 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Jul 8, 2023 Accepting new patients
Victoria Emergency Associates LLC CurrentSince Oct 7, 2015 Accepting new patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Nov 5, 2019 Accepting new patients
Victoria Hospitalist Associates, LLC CurrentSince Apr 11, 2016 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Rockport Urgent Care Center Past Accepting new patients
Twin Fountains Urgent Care Center Past Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

2008 Nine Rd
Brady, TX 76825
Phone (325) 597-2901

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

2621 Highway 35 N
Rockport, TX 78382
Phone (361) 729-3939

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

3002 Sam Houston Dr
Victoria, TX 77904
Phone (361) 575-4100

108 Twin Fountains Dr
Victoria, TX 77904
Phone (361) 578-3363

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: desiree.moorefnp.p6@direct.nextcare.nextgenshare.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1942332812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042682",
            "telephone_number": "361-578-5730",
            "fax_number": "361-578-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042682",
            "telephone_number": "361-578-5730",
            "fax_number": "361-578-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DESIREE",
        "middle_name": "YOUNG",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "522797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.