Individual provider Active NPI

Hannah Moore, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1942942214
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1071724 Issued in TX
Practice address
119 E Shepherd Ave
Lufkin, TX 75901-0315
Phone
(936) 630-4771
NPI assigned
Apr 8, 2022
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1071724 TX Primary

Addresses

Primary practice location

119 E Shepherd Ave
Lufkin, TX 75901-0315

Mailing address

119 E Shepherd Ave
Lufkin, TX 75901-0315
Phone (936) 630-4771

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
I20220520000251 TX Practitioner - Nurse Practitioner 2860879434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allan J McCorkle MdpaGroup PAC ID 9537233978, 6 clinicians

Practice addresses (Care Compare)

119 E Shepherd Ave
Lufkin, TX 75901-0315
Phone (936) 630-4771

9 Medical Dr
Amarillo, TX 79106-4137
Phone (806) 352-2731

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
89.34
Improvement activities
40
Cost
49.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1071724TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allan J. McCorkle, M.D.,P.a. CurrentSince May 1, 2022 Accepting new patients
Bloom Therapy Etx, LLC CurrentSince Oct 21, 2025 Accepting new patients
Take Heart Psychiatric Services PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

3 Medical Dr
Ste A
Amarillo, TX 79106
Phone (806) 355-1313

7021 Kewanee Ave
Unit 6104
Lubbock, TX 79424
Phone (806) 355-1313

119 E Shepherd Ave
Lufkin, TX 75901
Phone (936) 465-8164

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1942942214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E SHEPHERD AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759010315",
            "telephone_number": "936-630-4771",
            "fax_number": "936-323-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E SHEPHERD AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759010315",
            "telephone_number": "936-630-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1071724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.