DR. CASANDRA MOYER (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1891162384

DR. CASANDRA MOYER (APRN) is a healthcare provider. based in St petersburg, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 95002698 (CA). The NPI Number for DR. CASANDRA MOYER (APRN) is 1891162384

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASANDRA MOYER (APRN)
NPI
1891162384
Phone
(843) 474-5578
Address
7901 4TH ST N STE 300
Enumeration Date
31 August 2015
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8434745578
Graduation Year
2015 (11 years ago)
PAC ID
4284934936
Group Practice PAC ID
8628510310
Professional Enrollment ID
I20151201003272
Address ID
CA941071014SA739XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for DR. CASANDRA MOYER (APRN)

  • 7901 4TH ST N STE 300

    ST PETERSBURG, FL 337024399

    Phone: (843) 474-5578

    Fax: (843) 790-1871

    Type: Mailing

  • 5305 River Rd N Ste B

    Keizer, OR 973035324

    Phone: (843) 474-5578

    Fax: (843) 790-1871

    Type: Location

  • 9812 LONE QUAIL RD

    SAN DIEGO, CA 921274448

    Phone: (858) 366-3002

    Type: Mailing

  • 158 C AVE

    CORONADO, CA 921181420

    Phone: (619) 435-5400

    Fax: (619) 434-5401

    Type: Location

  • 2309 NORIEGA ST STE 888

    SAN FRANCISCO, CA 941224239

    Phone: (843) 474-5578

    Fax: (843) 790-1871

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $561.

Total Amount is formed as General ($561) + Research ($0) + Ownership ($0) = $561.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($138).

Total Amount

$561

General + Research + Ownership

Payments

22

Total payment records

General Amount

$561

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-12-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151201003272INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628510310View full group profile
NameSpecialtyState
Nurse PractitionerCA
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Nurse PractitionerFL
Nurse PractitionerNM
Marriage And Family TherapistCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

How is DR. CASANDRA MOYER (APRN) identified in CMS data?
CMS-hosted NPPES data lists DR. CASANDRA MOYER (APRN) with NPI 1891162384.
Is DR. CASANDRA MOYER (APRN) listed as active for patients and plans?
The listing shows DR. CASANDRA MOYER (APRN) as active in the NPI system.
What is DR. CASANDRA MOYER (APRN)'s specialty?
The listing groups DR. CASANDRA MOYER (APRN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CASANDRA MOYER (APRN)?
DR. CASANDRA MOYER (APRN)'s geographic hint is St Petersburg, Florida in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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