Shaheda Nia Moore, NP - Medicare Nurse Practitioner in Yonkers, NY

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Shaheda Nia Moore, NP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Yonkers, New York. Her current practice location is 340 S Broadway, Yonkers, New York. You can reach out to her office (for appointments etc.) via phone at (914) 968-5125.

Shaheda Nia Moore is licensed to practice in New York (license number 432227) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669036323.

Contact Information

Shaheda Nia Moore, NP
340 S Broadway,
Yonkers, NY 10705-2049
(914) 968-5125
(914) 968-5123

Map and Direction




Provider's Profile

Full NameShaheda Nia Moore
GenderFemale
SpecialityNurse Practitioner - Critical Care Medicine
Location340 S Broadway, Yonkers, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669036323
  • Provider Enumeration Date: 04/29/2019
  • Last Update Date: 01/16/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901131127
  • Enrollment ID: I20220527000528

Medical Identifiers

Medical identifiers for Shaheda Nia Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669036323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC0200XNurse Practitioner - Critical Care Medicine 432227 (New York)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. Shaheda Nia Moore allows following entities to bill medicare on her behalf.
Entity NameNys Medical Associate Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104268572
PECOS PAC ID: 8022243492
Enrollment ID: O20131021001887
Entity NameParcare Community Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730454083
PECOS PAC ID: 4981823390
Enrollment ID: O20140917002207
Entity NameProgressive Care Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295263796
PECOS PAC ID: 7113298209
Enrollment ID: O20170808002403
Entity NameRd Medical Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811643166
PECOS PAC ID: 8628463296
Enrollment ID: O20220325000700

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. Shaheda Nia 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 AddressPractice Location Address
Shaheda Nia Moore, NP
746 Mamaroneck Ave Apt 1410,
Mamaroneck, NY 10543-1990

Ph: (917) 371-3334		Shaheda Nia Moore, NP
340 S Broadway,
Yonkers, NY 10705-2049

Ph: (914) 968-5125

Reviews and Comments


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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.