Whitney Lee Moore, DNP, PMHNP - Medicare Nurse Practitioner in Ammon, ID

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Whitney Lee Moore, DNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ammon, Idaho. 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 4 Pillars Of Success Llc and her current practice location is 1675 Curlew Dr, Ammon, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 523-5319.

Whitney Lee Moore is licensed to practice in Idaho (license number ID-58820) 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 1770150484.

Contact Information

Whitney Lee Moore, DNP, PMHNP
1675 Curlew Dr,
Ammon, ID 83406-4850
(208) 523-5319
(208) 523-5627

Map and Direction




Provider's Profile

Full NameWhitney Lee Moore
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1675 Curlew Dr, Ammon, Idaho
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:
  • Whitney Lee Moore graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1770150484
  • Provider Enumeration Date: 06/10/2021
  • Last Update Date: 10/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991101297
  • Enrollment ID: I20210913001813

Medical Identifiers

Medical identifiers for Whitney Lee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770150484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health ID-58820 (Idaho)Primary
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult ID-58820 (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lost Rivers Medical CenterArco, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
4 Pillars Of Success Llc468802718810

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. Whitney Lee Moore allows following entities to bill medicare on her behalf.
Entity NameBadger Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619134277
PECOS PAC ID: 3173794187
Enrollment ID: O20110923000401
Entity Name4 Pillars Of Success Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619134277
PECOS PAC ID: 4688027188
Enrollment ID: O20240131004474

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. Whitney 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
Whitney Lee Moore, DNP, PMHNP
Po Box 2106,
Idaho Falls, ID 83403-2106

Ph: () -		Whitney Lee Moore, DNP, PMHNP
1675 Curlew Dr,
Ammon, ID 83406-4850

Ph: (208) 523-5319

Reviews and Comments


Nurse Practitioner Nurses in Ammon, ID

Jayde Barnes, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2705 E 17th St, Ammon, ID 83406
Phone: 208-346-7500    Fax: 208-346-7501
Melissa Phillips Fehrenbacker, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1499 Curlew Dr, Ammon, ID 83406
Phone: 208-227-3355    Fax: 208-529-6631
Christopher James Jankowski,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2705 E 17th St, Ammon, ID 83406
Phone: 208-346-7500    
Nicole Boyle, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2705 E 17th St, Ammon, ID 83406
Phone: 208-757-3973    
Colton Jeffery Phelps, MSN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1675 Curlew Dr, Ammon, ID 83406
Phone: 208-523-5319    
Michelle Norman, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2705 E 17th St, Ammon, ID 83406
Phone: 208-346-7501    
David Paul Adams, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1675 Curlew Dr, Ammon, ID 83406
Phone: 208-523-5319    Fax: 208-523-5627

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.