Shannon Lee Moore, ARNP - Medicare Certified Nurse Midwife (cnm) in Puyallup, WA

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Shannon Lee Moore, ARNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Puyallup, Washington. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Franciscan Medical Group and her current practice location is 11102 Sunrise Blvd E, Ste #110, Puyallup, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 697-7350.

Shannon Lee Moore is licensed to practice in Washington (license number AP60386228) 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 1417395385.

Contact Information

Shannon Lee Moore, ARNP
11102 Sunrise Blvd E, Ste #110,
Puyallup, WA 98374-8846
(253) 697-7350
Not Available

Map and Direction




Provider's Profile

Full NameShannon Lee Moore
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience8 Years
Location11102 Sunrise Blvd E, Puyallup, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Lee Moore graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1417395385
  • Provider Enumeration Date: 06/12/2013
  • Last Update Date: 06/12/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9537303730
  • Enrollment ID: I20250514003783

Medical Identifiers

Medical identifiers for Shannon Lee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417395385NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP60386228 (Washington)Secondary
363LW0102XNurse Practitioner - Women's Health AP60386228 (Washington)Primary
363LX0001XNurse Practitioner - Obstetrics & Gynecology AP60386228 (Washington)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Franciscan Medical Group05471738661400

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. Shannon Lee Moore allows following entities to bill medicare on her behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789

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. Shannon Lee 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
Shannon Lee Moore, ARNP
11102 Sunrise Blvd E, Ste #110,
Puyallup, WA 98374-8846

Ph: (253) 697-7350		Shannon Lee Moore, ARNP
11102 Sunrise Blvd E, Ste #110,
Puyallup, WA 98374-8846

Ph: (253) 697-7350

Reviews and Comments


Nurse Practitioner Nurses in Puyallup, WA

Melinda Moore, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373
Phone: 253-228-9674    
Oscar Herrera,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 220 15th Ave Se, Puyallup, WA 98372
Phone: 253-697-8610    
Corene Kimberly Irvin, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375
Phone: 785-630-0608    
Mark Perpose, DNP, ARNP, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15507 85th Ave E, Puyallup, WA 98375
Phone: 808-635-4543    
Jacqueline Lee,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14506 110th Ave E, Puyallup, WA 98374
Phone: 253-393-0336    
Sara R Husarik, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1706 Meridian S, Suite 120, Puyallup, WA 98371
Phone: 253-848-8797    Fax: 253-446-3239
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15406 Meridian E, Puyallup, WA 98375
Phone: 253-509-1777    Fax: 949-577-4515

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.