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Active NPI 1487682290 Individual Practitioner Female Practitioner

Susan Kaye Moore , NP

Nurse Practitioner • Fort Eustis, VA

Professional Overview & Biography Verified Profile Summary

Susan Moore, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Eustis, VA. Practice services are available at 815 GAFFEY PL under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure to re-educate brain-to-nerve-to-muscle function, each, application of blood vessel compression device, electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

815 Gaffey Pl

Fort Eustis, VA 236041505

Telephone 7573147500
Fax 7578786280
Associated Practice Facility / Clinic
🏢 Mcdonald Army Health Center Facility NPI 1528295615

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Eustis, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Fort Eustis, VA (1750 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
139 20 $75.00 $25.23
97016 Application of blood vessel compression device
72 20 $35.00 $7.74
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
56 16 $27.14 $8.15

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License VA 0024166514

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Benjamin Nusbaum , RDN

Dietitian, Registered

NPI 1033686381

Registered Dietitian Nutritionist

Dr. Saw San , DO

Internal Medicine

NPI 1043548514

Doctor of Osteopathic Medicine (D.O.)

Reed Jordan , PA

Physician Assistant

NPI 1053387332

Physician Assistant

NPI 1104440643

Doctor of Medicine (M.D.)

NPI 1114122421

Doctor of Medicine (M.D.)

Lesli Hughes , LCSW

Social Worker - Clinical

NPI 1114322054

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 06, 2017

Registered at 860 OMNI BLVD, STE 303, NEWPORT NEWS, VA 236064477 (Tel: 7572328769)

📍
Updated Practice Location February 06, 2017

Registered at 815 GAFFEY PL, FORT EUSTIS, VA 236041505 (Tel: 7573147500)

👤
Provider Name / Credentials Updated February 06, 2017

Recorded as SUSAN MOORE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Nurse Practitioner (License #0024166514 in VA)

NPI Profile Active November 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2013

Registered at 815 GAFFEY PL, FORT EUSTIS, VA 236041505 (Tel: 7573147500)

📍
Updated Business Mailing Address November 06, 2013

Registered at 201 STONY RIDGE CT, NEWPORT NEWS, VA 236082677

👤
Provider Name / Credentials Updated November 06, 2013

Recorded as SUSAN MOORE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2013

Nurse Practitioner (License #0024166514 in VA)

🟢
Initial NPI Registration & Enumeration June 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487682290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: February 06, 2017
Sole Proprietor: No

Mailing Address

860 Omni Blvd, Ste 303

Newport News, VA 236064477

Phone: 7572328769

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.