MS. MOENSANIA CARISA PHILLIPS (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1003300757
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MS. MOENSANIA CARISA PHILLIPS (NURSE PRACTITIONER)
4004 Evans Road
Atlanta, GA 30340
Phone: (706) 570-9103
Type: Location
865 N Highland Ave NE
Atlanta, GA 303064565
Phone: (404) 733-6089
Type: Location
1094 Killingly Commons Dr
Dayville, CT 062412187
Phone: (727) 601-4513
Type: Location
4004 EVANS ROAD
ATLANTA, GA 30340
Phone: (706) 570-9103
Type: Mailing
865 N HIGHLAND AVE NE
ATLANTA, GA 303064565
Phone: (404) 733-6089
Type: Location
2 EMBARCADERO CTR LBBY LEVEL
SAN FRANCISCO, CA 941113823
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 941113723
Phone: (415) 658-6791
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| I20190930001524 | I | Nurse Practitioner | GA | TBD |
| I20250218000839 | I | Nurse Practitioner | CT | TBD |
| I20250416001187 | I | Nurse Practitioner | CO | TBD |
| I20251216000554 | I | Nurse Practitioner | RI | TBD |
| I20251216000853 | I | Nurse Practitioner | MI | TBD |
| I20251218001944 | I | Nurse Practitioner | NY | TBD |
| I20251222002960 | I | Nurse Practitioner | VT | TBD |
| I20251225000005 | I | Nurse Practitioner | OR | TBD |
| I20260112000020 | I | Nurse Practitioner | MD | TBD |
| I20260120003816 | I | Nurse Practitioner | KS | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 319 | 145 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 31 | 20 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 29 | 16 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 17 | 16 | $0 |
| 99497 | Advance care planning, first 30 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 30340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Internal Medicine | FL | |
| Nurse Practitioner | PA | |
| Internal Medicine, Family Practice, Internal Medicine | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MO | |
| Preventive Medicine, Family Practice, Family Practice | CT | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | TN |
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