DENISE S MOORE (ARNP) – Gerontology Nurse Practitioner, NPI 1144744822

DENISE S MOORE (ARNP) is a healthcare provider. based in St petersburg, Florida. specializing in Gerontology Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. 9187658 (FL). The NPI Number for DENISE S MOORE (ARNP) is 1144744822

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DENISE S MOORE (ARNP)
NPI
1144744822
Phone
(727) 344-6200
Address
3301 66TH ST N STE A
Enumeration Date
3 August 2017
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275889572
Graduation Year
2017 (9 years ago)
PAC ID
8527327568
Group Practice PAC ID
0941195242
Professional Enrollment ID
I20180118002824
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for DENISE S MOORE (ARNP)

  • 3301 66TH ST N STE A

    ST PETERSBURG, FL 337101547

    Phone: (727) 344-6200

    Fax: (727) 344-6222

    Type: Mailing

  • 3301 66TH ST N

    ST PETERSBURG, FL 337101547

    Phone: (727) 743-9973

    Fax: (727) 528-8628

    Type: Location

  • 66th Street North, Cross Bayou, Pinellas Park, Pinellas County, Florida, 33764, United States

    PINELLAS PARK, FL 337815025

    Phone: (727) 528-4900

    Fax: (727) 528-8628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $752.

Total Amount is formed as General ($752) + Research ($0) + Ownership ($0) = $752.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($111).

Total Amount

$752

General + Research + Ownership

Payments

37

Total payment records

General Amount

$752

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2018-01-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180118002824INurse PractitionerFLTBD

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 33710)

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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: 0941195242View full group profile
NameSpecialtyState
-FL
Family PracticeFL
Nurse PractitionerPA
Nurse PractitionerFL
Family Practice, Preventive MedicineFL
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for DENISE S MOORE (ARNP) in U.S. healthcare records?
The official identifier for DENISE S MOORE (ARNP) is NPI 1144744822.
Is DENISE S MOORE (ARNP) shown as active in public data?
Registry records indicate DENISE S MOORE (ARNP) maintains an active NPI.
What area of care is associated with DENISE S MOORE (ARNP)?
DENISE S MOORE (ARNP)'s record emphasizes Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DENISE S MOORE (ARNP)?
Travel planning: use St Petersburg, Florida as the reference point for DENISE S MOORE (ARNP), then confirm.
When was this NPI issued?
Enumeration for DENISE S MOORE (ARNP) is noted as August 3, 2017 where the registry provides it.

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