Look up the most recent NPI and PECOS records

Seresa Moore

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Seresa Moore is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1891345385
Provider Type
Individual
Full Name
Moore, Seresa
Credential
FNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/17/2019
Last Updated
3/21/2024

Contact Information

Practice Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

(615) 235-9725

Mailing Location

PO Box 401, Georgetown, TX 78627-0401

(737) 777-3808

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP143053 Texas

Seresa Moore

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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