BONNIE JO MOORE (CRNP) – Family Nurse Practitioner, NPI 1619901139
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for BONNIE JO MOORE (CRNP)
5295 PRESERVE PKWY STE 210
HOOVER, AL 352444702
Phone: (205) 682-6077
Fax: (205) 682-7646
Type: Mailing
5295 Preserve Pkwy
Suite 240
Hoover, AL 35244
Phone: (205) 682-9124
Fax: (205) 682-7646
Type: Location
5295, Preserve Parkway, Highland Crest, Mars Hill, Hoover, Jefferson County, Alabama, 35244, United States
SUITE 240
HOOVER, AL 35244
Phone: (205) 682-9124
Fax: (205) 682-7646
Type: Location
1001 BROCKS GAP PKWY STE 101
HOOVER, AL 352444028
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 125 Open Payments records for all available years, with a total value of $2,328.
Total Amount is formed as General ($2,328) + Research ($0) + Ownership ($0) = $2,328.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($442).
Total Amount
$2,328
General + Research + Ownership
Payments
125
Total payment records
General Amount
$2,328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $442 |
| GlaxoSmithKline, LLC. | $252 |
| Exact Sciences Corporation | $194 |
| Lilly USA, LLC | $164 |
| Abbott Laboratories | $115 |
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: 2014-09-24
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 |
|---|---|---|---|---|
| I20140924000916 | 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 |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 169 | 169 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 98 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 131 | 121 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 130 | 130 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 80 | $0 |
Insurance plans in this area (ZIP 35244)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AL | 90670 | Pneumococcal vaccine for injection into muscle | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Nurse Practitioner | AL | |
| Family Practice, Physical Medicine And Rehabilitation | AL | |
| - | AL | |
| - | AL | |
| General Surgery | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| - | AL |
Reviews
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