RAYMOND MOY (DNP, RN) – Primary Care Nurse Practitioner, NPI 1164015848

RAYMOND MOY (DNP, RN) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, RN. They hold a License No. 041.402567 (IL). The NPI Number for RAYMOND MOY (DNP, RN) is 1164015848

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
RAYMOND MOY (DNP, RN)
NPI
1164015848
Phone
(773) 931-2648
Address
3639 W MONTROSE AVE APT 3E
Enumeration Date
14 February 2021
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6095851122
Graduation Year
2020 (6 years ago)
PAC ID
8527588425
Group Practice PAC ID
0547626871
Professional Enrollment ID
I20250424001790
Address ID
IL605651511NA1525XLNXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for RAYMOND MOY (DNP, RN)

  • 3639 W MONTROSE AVE APT 3E

    CHICAGO, IL 606181125

    Phone: (773) 931-2648

    Type: Mailing

  • 8221 MOURNING DOVE CT

    WOODRIDGE, IL 605174508

    Phone: (773) 931-2648

    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: 2025-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250221003222INurse PractitionerCATBD
I20250424001790INurse PractitionerILTBD

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 60618)

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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: 0547626871View full group profile
NameSpecialtyState
Family PracticeFL
Family Practice, Emergency MedicineNY
Internal MedicineNY
Nurse PractitionerTX
Internal MedicineFL
Internal MedicinePA
Internal MedicineTX
Internal Medicine, Hospitalist, Internal MedicineIL
Family PracticeFL
Hospitalist, Internal Medicine, Internal MedicineWA

Reviews

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Frequently asked questions

How do payers reference RAYMOND MOY (DNP, RN)?
For RAYMOND MOY (DNP, RN), use NPI 1164015848 as the unique 10-digit identifier.
Would RAYMOND MOY (DNP, RN) appear as active to a payer?
You can treat RAYMOND MOY (DNP, RN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with RAYMOND MOY (DNP, RN)?
RAYMOND MOY (DNP, RN)'s record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is RAYMOND MOY (DNP, RN) located near Chicago?
RAYMOND MOY (DNP, RN) currently maps to Chicago, Illinois in this extract.
Can I trust this NPI listing for RAYMOND MOY (DNP, RN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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