Shane Moore, - Medicare Nurse Practitioner in Waco, TX

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Shane Moore, is a medicare enrolled "Nurse Practitioner - Family" in Waco, Texas. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Legacy Urgent Care Pa and his current practice location is 7030 New Sanger Ave Ste 204, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 245-9175.

Shane Moore is licensed to practice in Texas (license number AP139172) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1417426529.

Contact Information

Shane Moore,
7030 New Sanger Ave Ste 204,
Waco, TX 76712-4074
(254) 245-9175
(254) 213-7771

Map and Direction




Provider's Profile

Full NameShane Moore
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location7030 New Sanger Ave Ste 204, Waco, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane Moore graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1417426529
  • Provider Enumeration Date: 11/19/2018
  • Last Update Date: 10/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7618211285
  • Enrollment ID: I20181208000051

Medical Identifiers

Medical identifiers for Shane Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417426529NPI-NPPES
AP139172OtherTXLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP139172 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Urgent Care Pa3072679828157

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. Shane Moore allows following entities to bill medicare on his behalf.
Entity NameLegacy Urgent Care PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568622272
PECOS PAC ID: 3072679828
Enrollment ID: O20090304000140
Entity NamePremier Physicians - II PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801204656
PECOS PAC ID: 9234416744
Enrollment ID: O20170511000584
Entity NameHealthnow Urgent Care Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447779152
PECOS PAC ID: 9931445640
Enrollment ID: O20190208001322

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. Shane 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
Shane Moore,
Po Box 11538,
Killeen, TX 76547-1538

Ph: (254) 245-9177		Shane Moore,
7030 New Sanger Ave Ste 204,
Waco, TX 76712-4074

Ph: (254) 245-9175

Reviews and Comments


Nurse Practitioner Nurses in Waco, TX

Leslie P Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Gurley Lane, Waco, TX 76706
Phone: 254-313-6000    Fax: 254-313-4531
Tyler Adam Brown,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712
Phone: 877-724-5437    
Eidel Nerli Adams,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6901 Medical Pkwy, Waco, TX 76712
Phone: 254-751-4000    
Manita Lamichhane, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1311 S 5th St, Waco, TX 76798
Phone: 254-710-2292    
Mrs. Lori Elaine Hutson, RNC NNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    
Emily Heeringa, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    
Jared Blake Griffin, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2900    

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.