MRS. CARLA A ETHERTON MOORE (CRNP) – Nurse Practitioner, NPI 1063478576
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MRS. CARLA A ETHERTON MOORE (CRNP)
267 FOB JAMES DR
VALLEY, AL 368545077
Phone: (334) 710-0525
Fax: (334) 710-0574
Type: Location
11, Medical Park, Dimmeydale, Pleasant Valley, Wheeling, Ohio County, West Virginia, 26003, United States
VALLEY, AL 368543665
Phone: (334) 756-4860
Fax: (334) 756-4866
Type: Mailing
PO BOX 1000
VALLEY, AL 368541000
Phone: (334) 710-0565
Fax: (334) 710-0574
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $1,301.
Total Amount is formed as General ($1,301) + Research ($0) + Ownership ($0) = $1,301.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($459).
Total Amount
$1,301
General + Research + Ownership
Payments
57
Total payment records
General Amount
$1,301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $459 |
| ABBVIE INC. | $127 |
| Amgen Inc. | $125 |
| Novo Nordisk Inc | $124 |
| Lilly USA, LLC | $61 |
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: 2005-12-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051214000417 | I | Nurse Practitioner | AL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 272 | 110 | $0 |
| 83036 | Hemoglobin a1c level | 66 | 24 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 61 | 24 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 57 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 26 | $0 |
Insurance plans in this area (ZIP 36854)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AL | 85610 | Blood test, clotting time | 25 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Family Practice | FL | |
| Family Practice | VA | |
| Internal Medicine | AL | |
| Internal Medicine | AL | |
| - | AL | |
| Family Practice | AL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | AL |
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