DAGMAR MOUSSARD – Nurse Practitioner, NPI 1750938486
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for DAGMAR MOUSSARD
3276 GREENWALD WAY N
KISSIMMEE, FL 347410728
Phone: (407) 944-0999
Fax: (407) 935-0691
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 129 Open Payments records for all available years, with a total value of $3,130.
Total Amount is formed as General ($3,130) + Research ($0) + Ownership ($0) = $3,130.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($839).
Total Amount
$3,130
General + Research + Ownership
Payments
129
Total payment records
General Amount
$3,130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $839 |
| ABBVIE INC. | $698 |
| Dermavant Sciences, Inc. | $310 |
| E.R. Squibb & Sons, L.L.C. | $257 |
| Sun Pharmaceutical Industries Inc. | $164 |
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: 2020-02-21
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 |
|---|---|---|---|---|
| I20200221001576 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 882 | 131 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 340 | 245 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 262 | 211 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 255 | 179 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 156 | 79 | $0 |
Insurance plans in this area (ZIP 34741)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL |
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