MRS. REBEKAH MOORE (PMHNP) – Family Nurse Practitioner, NPI 1144576232
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for MRS. REBEKAH MOORE (PMHNP)
PO BOX 1149
BLOOMINGTON, IN 474021149
Phone:
Type: Mailing
995 S CLARIZZ BLVD
BLOOMINGTON, IN 474015588
Phone: (812) 353-3060
Type: Location
2415 MITCHELL RD STE C
BEDFORD, IN 474214747
Phone: (812) 393-8070
Fax: (812) 954-5024
Type: Location
8003 CASTLEWAY DR
INDIANAPOLIS, IN 462501946
Phone: (317) 576-1335
Fax: (317) 343-6562
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $93.
Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($39).
Total Amount
$93
General + Research + Ownership
Payments
5
Total payment records
General Amount
$93
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $39 |
| ABBVIE INC. | $36 |
| Supernus Pharmaceuticals, Inc. | $18 |
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: 2012-10-30
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 |
|---|---|---|---|---|
| I20121030000301 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 21 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 50 | 17 | $0 |
Insurance plans in this area (ZIP 47402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| C H I R O P R A C T I C | MO | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Family Practice | IN | |
| Nurse Practitioner | MI |
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