ELIZABETH VICTORIA MOERMAN (FNP) – Family Medicine Physician, NPI 1003467218
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ELIZABETH VICTORIA MOERMAN (FNP)
505, West John Street, Knox, Starke County, Indiana, 46534, United States
KNOX, IN 465341619
Phone: (574) 806-7249
Type: Mailing
1002, Edgewood Drive, Knox, Starke County, Indiana, 46534, United States
KNOX, IN 465348226
Phone: (574) 772-6030
Type: Location
333 N Alabama St Ste 350
Indianapolis, IN 462042275
Phone: (888) 998-7337
Type: Location
2771 E US Highway 6 Ste B
Kendallville, IN 467559341
Phone: (888) 998-7337
Type: Location
606 LINCOLNWAY
VALPARAISO, IN 463835728
Phone: (219) 247-4003
Fax: (574) 203-9702
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Lilly USA, LLC ($149).
Total Amount
$301
General + Research + Ownership
Payments
7
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $149 |
| Boston Scientific Corporation | $87 |
| Novo Nordisk Inc | $50 |
| ABBVIE INC. | $14 |
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: 2019-11-25
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 |
|---|---|---|---|---|
| I20191125001580 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 29 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 31 | 19 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 20 | 16 | $0 |
Insurance plans in this area (ZIP 46534)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | UT | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | IN | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN |
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