TESSA ELIZABETH MOORE (MD) – Family Medicine Physician, NPI 1003565177

TESSA ELIZABETH MOORE (MD) is a healthcare provider. based in Seattle, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD61583267 (WA). The NPI Number for TESSA ELIZABETH MOORE (MD) is 1003565177

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TESSA ELIZABETH MOORE (MD)
NPI
1003565177
Phone
(206) 528-8000
Address
331 NE Thornton Pl
Enumeration Date
23 March 2022
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
1153718846
Group Practice PAC ID
6709774086
Professional Enrollment ID
I20250822002299
Address ID
WA991143354CO1200XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for TESSA ELIZABETH MOORE (MD)

  • 331 NE Thornton Pl

    Seattle, WA 981258021

    Phone: (206) 528-8000

    Fax: (206) 520-2399

    Type: Location

  • 331 NE THORNTON PL

    SEATTLE, WA 981258021

    Phone:

    Type: Mailing

  • PO BOX 31001-4114

    PASADENA, CA 911104114

    Phone: (866) 747-2455

    Type: Mailing

  • 100 W SOUTH AVE

    CHEWELAH, WA 991099684

    Phone: (509) 935-8111

    Fax: (509) 935-0970

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250822002299IFamily PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709774086View full group profile
NameSpecialtyState
Nurse PractitionerWA
Family Practice, Obstetrics/GynecologyWA
Clinical Social WorkerWA
Family PracticeWA
Physician AssistantWA
Family PracticeWA
Clinical Social WorkerWA
Nurse PractitionerWA
Marriage And Family TherapistWA
Family PracticeWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm TESSA ELIZABETH MOORE (MD)'s NPI?
Yes. TESSA ELIZABETH MOORE (MD) is listed with NPI 1003565177 in the public NPI dataset.
Is TESSA ELIZABETH MOORE (MD) listed as active for patients and plans?
The listing shows TESSA ELIZABETH MOORE (MD) as active in the NPI system.
What is TESSA ELIZABETH MOORE (MD) best known for clinically?
Directory data describes TESSA ELIZABETH MOORE (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for TESSA ELIZABETH MOORE (MD)?
TESSA ELIZABETH MOORE (MD)'s geographic hint is Seattle, Washington in our summary view.
Is the information about TESSA ELIZABETH MOORE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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