MR. NATHAN MOORE (APRN-C) – Family Nurse Practitioner, NPI 1154846442
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. NATHAN MOORE (APRN-C)
12899 Walsingham Rd
Largo, FL 337743537
Phone: (727) 596-9490
Fax: (813) 635-7943
Type: Location
2128 34th St S
St Petersburg, FL 337113224
Phone: (727) 767-0940
Fax: (727) 767-0937
Type: Location
4740 Rowan Rd
New Port Richey, FL 346535601
Phone: (727) 372-8682
Fax: (727) 372-8971
Type: Location
Drew Street, Clearwater, Pinellas County, Florida, 34625, United States
CLEARWATER, FL 337593012
Phone: (727) 532-1355
Fax: (813) 635-2613
Type: Mailing
12899, Walsingham Road, Largo, Pinellas County, Florida, 33778, United States
LARGO, FL 337743537
Phone: (727) 596-9490
Fax: (813) 635-7943
Type: Location
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 631254522
Phone: (314) 892-8352
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: 2021-07-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210722000094 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 52 | 52 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 50 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 29 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 30 | 29 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 27 | 27 | $0 |
Insurance plans in this area (ZIP 33774)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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