TONYA MOORE (APN) – Family Nurse Practitioner, NPI 1225434772
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for TONYA MOORE (APN)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 616033168
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
420 NE GLEN OAK AVE
STE 401
PEORIA, IL 616033168
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Mailing
1051 W South St
Kewanee, IL 614438354
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
1000 W Harlem Ave
Monmouth, IL 614621007
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
420 NE Glen Oak Ave Ste 401
Peoria, IL 616033168
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
834 N SEMINARY ST STE 501
GALESBURG, IL 614010501
Phone: (309) 343-4114
Fax: (309) 676-8455
Type: Location
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: 2015-07-31
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 |
|---|---|---|---|---|
| I20150731014208 | 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.
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 | 136 | 135 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 72 | 12 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 29 | 22 | $0 |
Insurance plans in this area (ZIP 61603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nephrology, Internal Medicine, Pediatric Medicine | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA | |
| - | IL | |
| Nurse Practitioner | IL |
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