VICTORIA A MOORE PAC
NPI 1912988650
Physician Assistant - Medical in Olympia, WA

NPI Status: Active since November 09, 2005

Contact Information

209 LILLY RD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 413-8250
Fax: (360) 413-8830

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  • Individual
  • Female
  • Years of Experience 30
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About VICTORIA MOORE

This page provides the complete NPI Profile along with additional information for Victoria Moore, a primary care provider established in Olympia, Washington with a medical specialization in Physician Assistant, focusing in medical and more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1912988650 assigned on November 2005. The practitioner's primary taxonomy code is 363AM0700X with license number PA10003474 (WA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1912988650
Provider Name
VICTORIA A MOORE PAC
Gender
Female
Entity Type
Individual
Location Address
209 LILLY RD NE OLYMPIA, WA 98506
Location Phone
(360) 413-8250
Location Fax
(360) 413-8830
Mailing Address
209 LILLY RD NE OLYMPIA, WA 98506
Mailing Phone
(360) 413-8250
Mailing Fax
(360) 413-8830
Medical School Name
OTHER
Graduation Year
1996
Is Sole Proprietor?
No
Enumeration Date
11-09-2005
Last Update Date
03-07-2023
Code Navigator

A primary care provider (PCP) like Victoria Moore sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 500 Lilly Rd NE suite 204
    Olympia, WA 98506
    (360) 413-8250

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA10003474
License State
WA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PA10003474OTHER (01)WAPA LISENCE

Medicare Participation & PECOS Enrollment Status

Victoria Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Victoria Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 941228324

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20051103000920

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 25 times for 24 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 66 times for 56 patients

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 43 times for 37 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 41 times for 41 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 16 times for 16 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Victoria Moore is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PROVIDENCE ST PETER HOSPITAL413 LILLY ROAD NE
OLYMPIA, WA 98506
(360) 491-9480Acute Care Hospitals

Reviews for VICTORIA A MOORE PAC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912988650
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292218816610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 8 + 1 + 6 + 6 + 1 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1912988650 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992796528DR. LUCAS RANDALL LEONARD M.D.
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1922022847 JANELISA WILLIAMS PA-C
Individual
Physician Assistant (Medical)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1841301090 KRISTINE Y ZHANG MD
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1144302159DR. DAVID JUSTIN OWENS M.D.
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1144379918DR. MEIMIN XIE MD
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1164544953MR. NICHOLAS KEITH WEBER MD
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1093928236 REED WARD BURBANK CRNA
Individual
Nurse Anesthetist, Certified Registered209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1124454533 TERESA ABERNATHY ARNP
Individual
Nurse Practitioner (Family)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1245289560 FRANK J BROWN MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1427470673 RACHEL FARNEY CRNA
Individual
Nurse Anesthetist, Certified Registered209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1780060491 JASON PHILLIP AITKEN DNP, CRNA
Individual
Nurse Anesthetist, Certified Registered209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1093864274MR. DENNIS D SNELSON JR. CRNA
Individual
Nurse Anesthetist, Certified Registered209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1427711746 RALPH JAY NADONG PULIDO MSN, ARNP, FNP-C
Individual
Nurse Practitioner (Family)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1750608329 MARIA THERESA S KURTZ D.O.
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1083695167DR. BENJAMIN F MERRIFIELD MD
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1528058658DR. HARPREET S BRAR MD
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1740261817DR. KATHRYNE A WAGNER MD
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1841949708 MELISSA DAWN BLUESTEIN-ROGERS FNP-C
Individual
Nurse Practitioner (Family)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1912998048DR. BRUCE A SILVERMAN MD
Individual
Internal Medicine (Gastroenterology)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250
1902264856 STEPHANIE MITCHELL ARNP
Individual
Nurse Practitioner (Family)209 LILLY RD NE
OLYMPIA, WA 98506
(360) 413-8250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912988650, enumerated in the NPI registry as an "individual" on November 09, 2005

The provider is located at 209 Lilly Rd Ne Olympia, Wa 98506 and the phone number is (360) 413-8250

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 30 years of experience.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Initial hospital inpatient care per day, typically 50 minutes and New patient office or other outpatient visit, 45-59 minutes.

The practitioner is affiliated to the following hospital(s): PROVIDENCE ST PETER HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on November 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.