Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tina Ann Wilkinson Moore, PA

Physician Assistant in Willow Park, TX · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124013198

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Registry record

Entity type Individual (Type 1)

Name Tina Ann Wilkinson Moore

Credential PA

Sex Female

Practice address 5700 E I 20 Service Rd S, Willow Park, TX, 76008

Phone (817) 489-7300

Fax (817) 489-7302

Enumeration date Sep 15, 2005

Last updated in NPPES Jan 28, 2019

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA03112 (TX) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
196341501	Medicaid	TX	-
196341502	Medicaid	TX	-
8F9743	Other	TX	BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Tina Wilkinson Moore?

The National Provider Identifier (NPI) for Tina Wilkinson Moore is 1124013198, a Type 1 (individual) record in the CMS NPPES registry.

Where does Tina Wilkinson Moore practice?

The practice location on file with NPPES is in Willow Park, TX. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-28.