NOELLE MOONEYHAM (ARNP) – Nurse Practitioner, NPI 1154893477
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for NOELLE MOONEYHAM (ARNP)
212, South Florida Street, Bushnell, Sumter County, Florida, 33513, United States
BUSHNELL, FL 335136703
Phone: (352) 793-2441
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $293.
Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($96).
Total Amount
$293
General + Research + Ownership
Payments
16
Total payment records
General Amount
$293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $96 |
| Otsuka America Pharmaceutical, Inc. | $56 |
| PFIZER INC. | $24 |
| ABBVIE INC. | $20 |
| Novo Nordisk Inc | $17 |
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: 2019-02-14
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 |
|---|---|---|---|---|
| I20190214000039 | 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 |
|---|---|---|---|---|
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 74 | 53 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 73 | 52 | $0 |
| 80076 | Liver function blood test panel | 72 | 53 | $0 |
| 83036 | Hemoglobin a1c level | 71 | 49 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 69 | 52 | $0 |
Insurance plans in this area (ZIP 33513)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL |
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