LILLIAN MOORE – Primary Care Nurse Practitioner, NPI 1447663398

LILLIAN MOORE is a healthcare provider. based in Country club hills, Illinois. specializing in Primary Care Nurse Practitioner. They hold a License No. 209011565 (IL). The NPI Number for LILLIAN MOORE is 1447663398

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
LILLIAN MOORE
NPI
1447663398
Phone
Not provided
Address
4724 WEST 175TH PLACE
Enumeration Date
9 June 2014
Last Update Date
9 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2199497540
Graduation Year
2011 (15 years ago)
PAC ID
2860610193
Group Practice PAC ID
5597794834
Professional Enrollment ID
I20161228000400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for LILLIAN MOORE

  • 4724 WEST 175TH PLACE

    COUNTRY CLUB HILLS, IL 60478

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,549.

Total Amount is formed as General ($1,549) + Research ($0) + Ownership ($0) = $1,549.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Abbott Laboratories ($691).

Total Amount

$1,549

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,549

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161228000400INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes21180$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7224$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6122$0
99214Established patient office or other outpatient visit, 30-39 minutes2719$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2520$0
View full utilization report →

Insurance plans in this area (ZIP 60478)

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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: 5597794834View full group profile
NameSpecialtyState
Nurse PractitionerIN
Family PracticeIL
Nurse PractitionerIN
Family Practice, Internal MedicineIN

Reviews

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Frequently asked questions

Can I use this page to confirm LILLIAN MOORE's NPI?
Yes. LILLIAN MOORE is listed with NPI 1447663398 in the public NPI dataset.
Can I rely on LILLIAN MOORE being an active provider?
As of the registry snapshot, LILLIAN MOORE is marked active.
What taxonomy line describes LILLIAN MOORE?
For research purposes, treat LILLIAN MOORE as Primary Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is LILLIAN MOORE based?
LILLIAN MOORE is tied to Country Club Hills, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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