KENQUISHA MARIE MOORMAN (APRN) – Family Nurse Practitioner, NPI 1437648789
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for KENQUISHA MARIE MOORMAN (APRN)
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (502) 801-9502
Fax: (877) 284-3296
Type: Mailing
2950 W MARKET ST
LOUISVILLE, KY 402121860
Phone: (502) 801-9502
Fax: (877) 284-3296
Type: Location
1930 Bishop Ln Ste 1600
Louisville, KY 40218
Phone: (502) 272-5044
Type: Location
Bishop Lane, Watterson Park, Jefferson County, Kentucky, 40218, United States
LOUISVILLE, KY 40218
Phone: (502) 272-5044
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776351
Phone: (502) 272-5063
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals 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: 2018-06-06
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 |
|---|---|---|---|---|
| I20180606002871 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 15 | $0 |
Insurance plans in this area (ZIP 33126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Internal Medicine | IN | |
| Family Practice | AL | |
| Family Practice | KY | |
| Internal Medicine | KY | |
| Family Practice | KY | |
| Internal Medicine | KY |
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