ELISE MARIE MOORE HERN – Women's Health Nurse Practitioner, NPI 1316812662

ELISE MARIE MOORE HERN is a healthcare provider. based in Castle rock, Colorado. specializing in NURSE PRACTITIONER. They hold a License No. 1001282 (CO). The NPI Number for ELISE MARIE MOORE HERN is 1316812662

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ELISE MARIE MOORE HERN
NPI
1316812662
Phone
(303) 882-7143
Address
6038 HIGH TIMBER CIR
Enumeration Date
7 October 2025
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
3037061600
Graduation Year
2025 (1 year ago)
PAC ID
6608361191
Group Practice PAC ID
6608765060
Professional Enrollment ID
I20251222003090
Address ID
CO801245534LO10099PKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for ELISE MARIE MOORE HERN

  • 6038 HIGH TIMBER CIR

    CASTLE ROCK, CO 801043481

    Phone: (303) 882-7143

    Type: Mailing

  • 10099 RIDGEGATE PKWY STE 280

    LONE TREE, CO 801245534

    Phone: (303) 791-2112

    Type: Location

  • 125 Inverness Dr E Ste 210

    Englewood, CO 801125110

    Phone: (303) 221-1490

    Type: Location

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: 2025-12-22

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
I20251222003090INurse PractitionerCOTBD

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 80104)

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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: 6608765060View full group profile
NameSpecialtyState
-CO
-CO
-CO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO
-CO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO

Reviews

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Frequently asked questions

What number should I use to identify ELISE MARIE MOORE HERN for billing?
Administrative and clinical systems typically use NPI 1316812662 for ELISE MARIE MOORE HERN.
Should I treat ELISE MARIE MOORE HERN as an active provider?
Patients and plans typically see ELISE MARIE MOORE HERN as active in the national extract.
Which specialty label fits ELISE MARIE MOORE HERN?
NPPES ties ELISE MARIE MOORE HERN to Women's Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ELISE MARIE MOORE HERN?
The directory associates ELISE MARIE MOORE HERN with Castle Rock, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains ELISE MARIE MOORE HERN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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