Kayla Anglin Moore, NP-C is a medicare enrolled "Family Medicine - Adult Medicine" in Grenada, Mississippi. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is
960 Avent Dr # 3w, Grenada, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 227-7793.
Kayla Anglin Moore is licensed to practice in Mississippi (license number 902287) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578082137.
Provider's Profile
| Full Name | Kayla Anglin Moore |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 9 Years |
|---|
| Location | 960 Avent Dr # 3w, Grenada, Mississippi |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Kayla Anglin Moore graduated from nursing school in 2017
NPI Data:
- NPI Number: 1578082137
- Provider Enumeration Date: 09/14/2017
- Last Update Date: 07/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 7214203108
- Enrollment ID: I20171020000544
Medical Identifiers
Medical identifiers for Kayla Anglin Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578082137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 902287 (Mississippi) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 902287 (Mississippi) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 902287 (Mississippi) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 956 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kayla Anglin Moore allows following entities to bill medicare on her behalf.
| Entity Name | State of Mississippi-university of Mississippi Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575 |
|---|
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. Kayla Anglin Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kayla Anglin Moore, NP-C
506 Highway 330,
Bruce, MS 38915-9594
Ph: (662) 542-1477 | Kayla Anglin Moore, NP-C
960 Avent Dr # 3w,
Grenada, MS 38901-5230
Ph: (662) 227-7793 |
Reviews and Comments