ELIZABETH ANN MOORE (ARNP) – Nurse Practitioner, NPI 1366789471
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for ELIZABETH ANN MOORE (ARNP)
411 S 5TH ST
FERNANDINA, FL 320343909
Phone: (913) 481-9695
Type: Mailing
5432325 US HWY 1
Callahan, FL 32011
Phone: (913) 481-9695
Type: Location
1348 S 18TH ST STE 340
FERNANDINA BEACH, FL 32034
Phone: (904) 775-5957
Fax: (904) 390-7387
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $251.
Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($151).
Total Amount
$251
General + Research + Ownership
Payments
11
Total payment records
General Amount
$251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $151 |
| GlaxoSmithKline, LLC. | $31 |
| Smith+Nephew, Inc. | $20 |
| Optinose US, Inc. | $16 |
| 3B Medical, Inc. | $16 |
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: 2017-10-24
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 |
|---|---|---|---|---|
| I20171024001741 | 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 | 499 | 398 | $0 |
| 69210 | Removal of impacted ear wax | 381 | 254 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 238 | 238 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 225 | 183 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 182 | 160 | $0 |
Insurance plans in this area (ZIP 32034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | FL | 81002 | Urinalysis, manual test | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | PA | |
| Otolaryngology, General Surgery | FL | |
| O T O L A R Y N G O L O G Y | KY | |
| General Surgery, Critical Care (Intensivists) | FL | |
| Orthopedic Surgery | FL | |
| Otolaryngology, Sleep Medicine | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| O P H T H A L M O L O G Y | FL | |
| Pain Management | FL |
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