KRISTIN MOUDRY (CRNP) – Family Nurse Practitioner, NPI 1720568363
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for KRISTIN MOUDRY (CRNP)
100, Rice Mine Road North, Rivermont, Tuscaloosa, Tuscaloosa County, Alabama, 35406, United States
TUSCALOOSA, AL 354062300
Phone: (205) 349-4200
Type: Location
32 SCHOOL AVE
BERRY, AL 355462246
Phone: (205) 689-0917
Fax: (205) 689-0949
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $305.
Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($119).
Total Amount
$305
General + Research + Ownership
Payments
12
Total payment records
General Amount
$305
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $119 |
| Novo Nordisk Inc | $71 |
| Lilly USA, LLC | $50 |
| ABBVIE INC. | $20 |
| Dexcom, Inc. | $15 |
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: 2018-12-06
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 |
|---|---|---|---|---|
| I20181206003578 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 38 | 17 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 24 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 11 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 21 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 15 | $0 |
Insurance plans in this area (ZIP 35406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Family Practice | AL |
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