ELIZABETH MOLE (DNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1376979237
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELIZABETH MOLE (DNP, PMHNP)
5674 STONERIDGE DR
SUITE 205
PLEASANTON, CA 945888500
Phone:
Type: Mailing
4695 CHABOT DR STE 200
PLEASANTON, CA 945882756
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 108 Open Payments records for all available years, with a total value of $2,508.
Total Amount is formed as General ($2,508) + Research ($0) + Ownership ($0) = $2,508.
Last reported payment date: 2024-11-02 • Largest payer in this snapshot: ABBVIE INC. ($1,413).
Total Amount
$2,508
General + Research + Ownership
Payments
108
Total payment records
General Amount
$2,508
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,413 |
| Alkermes, Inc. | $814 |
| Otsuka America Pharmaceutical, Inc. | $150 |
| E.R. Squibb & Sons, L.L.C. | $83 |
| Lundbeck LLC | $25 |
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: 2016-02-18
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 |
|---|---|---|---|---|
| I20160218000248 | I | Nurse Practitioner | CA | 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 | 824 | 175 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 154 | 86 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 63 | 63 | $0 |
Insurance plans in this area (ZIP 94588)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | CA | 90792 | Psychiatric diagnostic evaluation with medical services | 37 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | AL | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| P S Y C H I A T R Y | IL | |
| P S Y C H I A T R Y | NJ | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| N E U R O P S Y C H I A T R Y | NY |
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