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

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 Badger Inc 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



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
Badger Inc31737941879

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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

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Entity Name4 Pillars Of Success Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619134277
PECOS PAC ID: 4688027188
Enrollment ID: O20240131004474

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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

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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    
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
Miss Jacqueline Romrell, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3067 Eagle Dr, Ammon, ID 83406
Phone: 208-522-4600    Fax: 208-552-7521

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