PATRICIA E. MOORE (NP) – Family Nurse Practitioner, NPI 1912476672
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
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Provider Addresses for PATRICIA E. MOORE (NP)
2625, East Piccadilly Lane, Eagle, Ada County, Idaho, 83616, United States
EAGLE, ID 836165557
Phone: (208) 794-0825
Type: Mailing
Saint Lukes Meridian Medical Center, 520, South Eagle Road, Nampa, Ada County, Idaho, 83642, United States
MERIDIAN, ID 836426351
Phone: (208) 706-4151
Type: Location
520 S Eagle Rd
Meridian, ID 836426351
Phone: (208) 706-4151
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
600 N ROBBINS RD STE 301
BOISE, ID 837024539
Phone: (208) 385-3329
Fax: (208) 489-4063
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $263.
Total Amount is formed as General ($263) + Research ($0) + Ownership ($0) = $263.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($62).
Total Amount
$263
General + Research + Ownership
Payments
14
Total payment records
General Amount
$263
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
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: 2022-05-24
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 |
|---|---|---|---|---|
| I20220524001357 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 123 | 97 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 22 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 12 | 12 | $0 |
Insurance plans in this area (ZIP 83616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| C H I R O P R A C T I C | ID | |
| Nurse Practitioner | ID |
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