SERENA NICHOLE MOSS (CRNP) – Gerontology Nurse Practitioner, NPI 1457787509
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for SERENA NICHOLE MOSS (CRNP)
221 TECHNOLOGY PKWY NW
ROME, GA 301651369
Phone: (762) 235-1000
Type: Mailing
550 REDMOND RD NW
ROME, GA 301651416
Phone: (706) 233-8514
Fax: (706) 233-8515
Type: Location
185 CHATEAU DR SW STE 302
HUNTSVILLE, AL 358017413
Phone: (256) 855-1605
Fax: (256) 855-1905
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,236.
Total Amount is formed as General ($1,236) + Research ($0) + Ownership ($0) = $1,236.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: SCILEX PHARMACEUTICALS INC. ($531).
Total Amount
$1,236
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,236
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-07-12
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 |
|---|---|---|---|---|
| I20230712003663 | I | Nurse Practitioner | AL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 403 | 154 | $0 |
Insurance plans in this area (ZIP 30165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| Interventional Pain Management | AL |
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