Kimberly Moore, FNP in Ridgeland, MS - Medicare Nurse Practitioner

Kimberly Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ridgeland, Mississippi. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Mississippi Pllc and her current practice location is 1612 E. County Line Road, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 429-1160.

Kimberly Moore is licensed to practice in Mississippi (license number 904933) 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 1265104095.

Contact Information

	Kimberly Moore, FNP
	1612 E. County Line Road, Ridgeland, MS 39157
	(601) 429-1160
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1612 E. County Line Road, Ridgeland, 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:

Kimberly Moore graduated from nursing school in 2020

NPI Data:

NPI Number: 1265104095
Provider Enumeration Date: 09/30/2021
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 4082007356
Enrollment ID: I20220209000714

Medical Identifiers

Medical identifiers for Kimberly Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265104095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904933 (Mississippi)	Primary

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. Kimberly Moore allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Entity Name	H E A L Mississippi
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710659453 PECOS PAC ID: 5496142036 Enrollment ID: O20220428001468

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. Kimberly 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
Kimberly Moore, FNP 1612 E County Line Rd, Ridgeland, MS 39157-1906 Ph: (601) 429-1160	Kimberly Moore, FNP 1612 E. County Line Road, Ridgeland, MS 39157 Ph: (601) 429-1160

Reviews and Comments

Nurse Practitioner Nurses in Ridgeland, MS

Ebonique Martin Buckner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482
Mrs. Ana Evelia Recinos, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1107 Highland Colony Pkwy Ste 209, Ridgeland, MS 39157 Phone: 601-707-3737
Kenneth Kaiser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157 Phone: 601-856-2460 Fax: 601-856-4687
Dr. Amanda B Greene, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157 Phone: 601-499-0282 Fax: 601-499-0347
Mrs. Michelle Hughes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482
Mary Margaret Endris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Highland Colony Pkwy, Ridgeland, MS 39157 Phone: 601-341-6535
Mary Brett Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157 Phone: 855-498-6767 Fax: 479-968-1673

Kimberly Moore, FNP - Medicare Nurse Practitioner in Ridgeland, MS