Jennetta Shimell Moore, LPN - Licensed Practical Nurse in Winston Salem, NC

Jennetta Shimell Moore, LPN is a Licensed Practical Nurse based in Winston Salem, North Carolina. Jennetta Shimell Moore is licensed to practice in North Carolina (license number 90648) and her current practice location is 3215 Old Vineyard Rd, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at (336) 354-9047.

NPI number for Jennetta Shimell Moore is 1629678271 and her current mailing address is 3215 Old Vineyard Rd, Winston Salem, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629678271.

Contact Information

Jennetta Shimell Moore, LPN
3215 Old Vineyard Rd,
Winston Salem, NC 27103-1411
(336) 354-9047
Not Available

Map and Direction




Provider's Profile

Full NameJennetta Shimell Moore
GenderFemale
SpecialityLicensed Practical Nurse
Location3215 Old Vineyard Rd, Winston Salem, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629678271
  • Provider Enumeration Date: 10/31/2020
  • Last Update Date: 10/31/2020

Medical Identifiers

Medical identifiers for Jennetta Shimell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629678271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 90648 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennetta Shimell Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennetta Shimell Moore, LPN
3215 Old Vineyard Rd,
Winston Salem, NC 27103-1411

Ph: (336) 354-9047
Jennetta Shimell Moore, LPN
3215 Old Vineyard Rd,
Winston Salem, NC 27103-1411

Ph: (336) 354-9047

Reviews and Comments


Licensed Practical Nurse Nurses in Winston Salem, NC

Mrs. Mary Elizabeth Green, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 650 Highland Ave # 100, Winston Salem, NC 27101
Phone: 336-607-8523    Fax: 336-773-0914
Alanna Dawn Smith, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1617 S Hawthorne Rd, Winston Salem, NC 27103
Phone: 336-842-6980    
Wilmisha Denise May, MPH, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1617 S Hawthorne Rd, Winston Salem, NC 27103
Phone: 336-842-6980    
Shavonna Ann Robinson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 725 Highland Ave, Winston Salem, NC 27101
Phone: 866-275-9552    
Ariel Tilisha Thomas, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 990 Stafford Forest Dr Apt 301, Winston Salem, NC 27127
Phone: 478-396-1103    
Regina Johnson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1617 S Hawthorne Rd, Winston Salem, NC 27103
Phone: 336-842-6980    Fax: 336-842-6985
Javaun Margaret Patterson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 650 Highland Ave Ste 110, Winston Salem, NC 27101
Phone: 336-597-2115    Fax: 336-597-2873

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.