Mallory Moore, DNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · New Bern, NC
NPI 1972152197 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1972152197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5015120 (NC)
- Practice address
- 2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238 - Phone
- (252) 638-4023
- Fax
- (252) 633-2833
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Carolina Health Care PA
Carolinaeast Physicians
Practice addresses (Care Compare)
1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273
137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 637-9298
2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919
2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919
532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712
Hospital & facility affiliations
- Carolina East Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211122002236 | NC | Practitioner - Nurse Practitioner | 6204225725 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Health Care PA | Current |
Accepting new patients | |
| Coastal Carolina Health Care PA | Current |
Accepting new patients | |
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Carolinaeast Physicians | Past | Accepting new patients |
Locations
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
2604 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 638-4023
1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678
1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685
3724 Raleigh Road Pkwy W
Wilson, NC 27896
Phone (252) 246-8840
Interoperability endpoints
- mmoore27144@coastalcarolinahealthcenter.gardenplot.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5015120 | NC | Yes |
Addresses
Primary practice location
2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Mailing address
PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 276-7706
Other providers in New Bern, NC
- Cyle Ridley Moore
- George Horace Moore Jr.
- James O Moore
- Julia Moore
- Leann Ruth Deal Moore
- Terin Renee Moore
- Cristian Morales Mosquera
- Louis J Moran
- Bruce Alexander More
- Maiya Moreno
All providers in New Bern, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.