RONNIE LEE MOORE – Psychiatric/Mental Health Nurse Practitioner, NPI 1134603020
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for RONNIE LEE MOORE
2243, North Boulevard West, Haines City, Polk County, Florida, 33837, United States
DAVENPORT, FL 338378990
Phone: (863) 353-1394
Fax: (863) 638-5722
Type: Mailing
1324 LAKELAND HILLS BLVD
MANAGED CARE DEPT
LAKELAND, FL 33805
Phone: (863) 687-1100
Type: Mailing
3030 HARDEN BLVD
LAKELAND, FL 338037952
Phone: (863) 687-1222
Fax: (863) 603-6546
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $745.
Total Amount is formed as General ($745) + Research ($0) + Ownership ($0) = $745.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($242).
Total Amount
$745
General + Research + Ownership
Payments
8
Total payment records
General Amount
$745
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $242 |
| Axsome Therapeutics, Inc. | $237 |
| ABBVIE INC. | $163 |
| E.R. Squibb & Sons, L.L.C. | $103 |
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: 2021-12-01
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 |
|---|---|---|---|---|
| I20211201000058 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 20 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 74 | 23 | $0 |
Insurance plans in this area (ZIP 33837)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | TX | |
| - | FL | |
| - | FL | |
| Physical Medicine And Rehabilitation | MD | |
| Nurse Practitioner | FL | |
| - | FL | |
| Thoracic Surgery | OH | |
| Nurse Practitioner | FL | |
| Family Practice | FL |
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