KAREN L MOORE (CRNP) – Family Nurse Practitioner, NPI 1902911654

KAREN L MOORE (CRNP) is a healthcare provider. based in Haleyville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-033031 (AL). The NPI Number for KAREN L MOORE (CRNP) is 1902911654

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KAREN L MOORE (CRNP)
NPI
1902911654
Phone
(205) 486-5234
Address
PO BOX 655
Enumeration Date
21 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057865234
Graduation Year
2001 (25 years ago)
PAC ID
4981676590
Group Practice PAC ID
9638198021
Professional Enrollment ID
I20040812000526
Address ID
AL355651719HA904XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KAREN L MOORE (CRNP)

  • PO BOX 655

    HALEYVILLE, AL 35565

    Phone: (205) 486-5234

    Fax: (205) 486-5232

    Type: Mailing

  • 525 LANE HILL DRIVE

    HALEYVILLE, AL 35565

    Phone: (205) 486-5234

    Fax: (205) 486-5232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,136.

Total Amount is formed as General ($1,136) + Research ($0) + Ownership ($0) = $1,136.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($280).

Total Amount

$1,136

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-12

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
I20040812000526INurse PractitionerALTBD

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 35565)

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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: 9638198021View full group profile
NameSpecialtyState
Nurse PractitionerAL

Reviews

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Frequently asked questions

What federal number belongs to KAREN L MOORE (CRNP)?
The federal identifier for KAREN L MOORE (CRNP) is NPI 1902911654.
Is KAREN L MOORE (CRNP) active in the national directory?
KAREN L MOORE (CRNP)'s public NPI profile is in an active state.
Does KAREN L MOORE (CRNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KAREN L MOORE (CRNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for KAREN L MOORE (CRNP)?
The page summarizes Haleyville, Alabama for KAREN L MOORE (CRNP); expand the address list for detail.
Is KAREN L MOORE (CRNP) a real provider?
This page reflects official NPPES data for NPI 1902911654. Always confirm identity and privileges with the practice and licensing boards.

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