DAVID L MOORE (NP) – Family Nurse Practitioner, NPI 1891133369
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for DAVID L MOORE (NP)
225 Front St Ste 202
Juneau, AK 998011244
Phone: (907) 586-4230
Type: Location
555 Black Oak Dr
Medford, OR 97504
Phone: (907) 713-5258
Type: Location
2825 E BARNETT RD
MEDFORD, OR 975048332
Phone:
Type: Mailing
555 BLACK OAK DR
MEDFORD, OR 97504
Phone: (907) 713-5258
Type: Location
6823 SAINT CHARLES AVE BLDG 92
NEW ORLEANS, LA 701185665
Phone: (907) 713-7237
Type: Location
7616 FRERET ST
NEW ORLEANS, LA 701185010
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-02-06
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 |
|---|---|---|---|---|
| I20250206002392 | I | Nurse Practitioner | LA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | LA | |
| O P T O M E T R Y | LA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| - | LA | |
| N E U R O L O G Y | LA | |
| Nurse Practitioner | LA | |
| Family Practice | CO | |
| Nurse Practitioner | LA | |
| U R O L O G Y | LA | |
| N E U R O L O G Y | LA |
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