MICHELLE MOORE – Primary Care Nurse Practitioner, NPI 1043769268
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MICHELLE MOORE
458, North May Street, Kinzie Industrial Corridor, Chicago, Cook County, Illinois, 60622, United States
CHICAGO, IL 606425819
Phone: (312) 810-8896
Type: Location
458 N May St
Chicago, IL 606425819
Phone: (312) 810-8896
Type: Location
Howard Brown Health Sheridan, 4025, North Sheridan Road, Buena Park, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606132010
Phone:
Type: Mailing
632 BROADWAY PH 12
NEW YORK, NY 100122614
Phone: (347) 294-3414
Fax: (205) 332-1383
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $371.
Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Stryker Corporation ($354).
Total Amount
$371
General + Research + Ownership
Payments
2
Total payment records
General Amount
$371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $354 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $17 |
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: 2016-11-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20161130000148 | I | Nurse Practitioner | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | IL | |
| - | CA | |
| - | IL | |
| - | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IL |
Reviews
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