DR. PATRICK NAKASHIMA-MORAN (D.O.) – Family Medicine Physician, NPI 1558743138

DR. PATRICK NAKASHIMA-MORAN (D.O.) is a healthcare provider. based in Belleville, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 036.145202 (IL). The NPI Number for DR. PATRICK NAKASHIMA-MORAN (D.O.) is 1558743138

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICK NAKASHIMA-MORAN (D.O.)
NPI
1558743138
Phone
(618) 234-0640
Address
2900 FRANK SCOTT PKWY W STE 904
Enumeration Date
19 June 2015
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
6182076900
Graduation Year
2015 (11 years ago)
PAC ID
1153628078
Group Practice PAC ID
7618350448
Professional Enrollment ID
I20180731001899
Address ID
IL622697377SH1167XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. PATRICK NAKASHIMA-MORAN (D.O.)

  • 2900 FRANK SCOTT PKWY W STE 904

    BELLEVILLE, IL 62223

    Phone: (618) 234-0640

    Type: Location

  • PO BOX 23340

    SAINT LOUIS, MO 631563340

    Phone: (314) 851-1000

    Type: Mailing

  • 1167 FORTUNE BLVD

    SHILOH, IL 622697377

    Phone: (618) 207-6900

    Fax: (618) 207-6901

    Type: Location

  • PO BOX 419059

    SAINT LOUIS, MO 631419059

    Phone: (618) 207-6900

    Fax: (618) 207-6901

    Type: Mailing

  • 9215 LAUREL HILL DR

    SAINT LOUIS, MO 631262819

    Phone: (636) 579-9702

    Type: Mailing

  • 732 SUSSEX WAY

    O FALLON, IL 622693074

    Phone: (618) 607-8110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 80 Open Payments records for all available years, with a total value of $1,535.

Total Amount is formed as General ($1,535) + Research ($0) + Ownership ($0) = $1,535.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lilly USA, LLC ($288).

Total Amount

$1,535

General + Research + Ownership

Payments

80

Total payment records

General Amount

$1,535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2018-07-31

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180731001899IFamily PracticeILTBD

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
36415Insertion of needle into vein for collection of blood sample301160$0
99214Established patient office or other outpatient visit, 30-39 minutes279131$0
G0008Administration of influenza virus vaccine6464$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5757$0
G0444Annual depression screening, 5 to 15 minutes5252$0
View full utilization report →

Insurance plans in this area (ZIP 62223)

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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: 7618350448View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineMO
Nurse PractitionerMO
Physician AssistantMO
Internal MedicineMO
Internal MedicineMO

Reviews

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Frequently asked questions

How is DR. PATRICK NAKASHIMA-MORAN (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. PATRICK NAKASHIMA-MORAN (D.O.) with NPI 1558743138.
Does CMS list DR. PATRICK NAKASHIMA-MORAN (D.O.) as active?
Yes — DR. PATRICK NAKASHIMA-MORAN (D.O.) is active in the NPI listing used on this page.
What is DR. PATRICK NAKASHIMA-MORAN (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. PATRICK NAKASHIMA-MORAN (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. PATRICK NAKASHIMA-MORAN (D.O.) list a practice location?
Patients near Belleville, Illinois may find DR. PATRICK NAKASHIMA-MORAN (D.O.) in results; validate coverage separately.
Why does DR. PATRICK NAKASHIMA-MORAN (D.O.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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