Dr Mallory Moore, DNP, FNP-BC - Medicare Nurse Practitioner in Wilson, NC

Dr Mallory Moore, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Wilson, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Coastal Carolina Health Care Pa and her current practice location is 3724 Raleigh Road Pkwy W, Wilson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 246-8840.

Dr Mallory Moore is licensed to practice in North Carolina (license number 5015120) 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 1972152197.

Contact Information

Dr Mallory Moore, DNP, FNP-BC
3724 Raleigh Road Pkwy W,
Wilson, NC 27896-9742
(252) 246-8840
Not Available

Map and Direction




Provider's Profile

Full NameDr Mallory Moore
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location3724 Raleigh Road Pkwy W, Wilson, North Carolina
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:
  • Dr Mallory Moore graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1972152197
  • Provider Enumeration Date: 09/10/2019
  • Last Update Date: 10/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204225725
  • Enrollment ID: I20211122002236

Medical Identifiers

Medical identifiers for Dr Mallory Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972152197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5015120 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Carolina Health Care Pa9739087693111

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. Dr Mallory Moore allows following entities to bill medicare on her behalf.
Entity NameCoastal Carolina Health Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780623207
PECOS PAC ID: 9739087693
Enrollment ID: O20031230000224
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445

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. Dr Mallory 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
Dr Mallory Moore, DNP, FNP-BC
231 Harper Dr,
Snow Hill, NC 28580-7216

Ph: () -
Dr Mallory Moore, DNP, FNP-BC
3724 Raleigh Road Pkwy W,
Wilson, NC 27896-9742

Ph: (252) 246-8840

Reviews and Comments


Nurse Practitioner Nurses in Wilson, NC

Elizabeth N Cox, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 127 Goldsboro St S, Wilson, NC 27893
Phone: 252-230-0452    
Ms. Katrina L Mccourt, PMHNP-BC, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2261 Nash St Nw, Wilson, NC 27896
Phone: 252-237-8403    Fax: 877-868-8991
Kimberly Bridgers Pittman,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1702 Medical Park Dr W, Wilson, NC 27893
Phone: 252-243-7944    
Krystle Parker,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2261 Nash St Nw, Wilson, NC 27896
Phone: 877-876-3783    
Dr. Amanda Bray Brinson, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1702 Medical Park Dr W, Wilson, NC 27893
Phone: 252-243-7944    
Jennifer Anne Crandall, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2231 Nash St Nw Ste A, Wilson, NC 27896
Phone: 919-252-3511    
Shelley Marie Caro Magsino, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1702 Medical Park Dr W, Wilson, NC 27893
Phone: 252-243-7944    

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.