ELIZABETH MOORE (FNP-C) – Family Nurse Practitioner, NPI 1336717412
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 ELIZABETH MOORE (FNP-C)
3800 HIGHLAND AVE STE 102
DOWNERS GROVE, IL 605151559
Phone: (847) 519-4701
Fax: (847) 519-4707
Type: Mailing
1571 MAPLEWOOD AVE
HANOVER PARK, IL 601333920
Phone: (224) 770-0899
Type: Mailing
1365 WILEY RD
SCHAUMBURG, IL 601734382
Phone: (847) 519-4701
Fax: (847) 519-4707
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Boston Scientific Corporation ($47).
Total Amount
$171
General + Research + Ownership
Payments
8
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
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: 2022-02-07
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 |
|---|---|---|---|---|
| I20220207000695 | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 350 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 263 | 107 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 244 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 157 | 43 | $0 |
| 97530 | Therapy procedure using functional activities | 110 | 41 | $0 |
Insurance plans in this area (ZIP 60515)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Pain Management | DC | |
| Anesthesiology, Interventional Pain Management, Pain Management | IL | |
| Physician Assistant | IL | |
| A N E S T H E S I O L O G Y | IL |
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