KATHRYN MOORE (ARNP) – Family Medicine Physician, NPI 1093120826
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for KATHRYN MOORE (ARNP)
1614 DIAMOND STREET PL
ONAWA, IA 510401554
Phone: (712) 423-1525
Fax: (712) 423-2528
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 75 Open Payments records for all available years, with a total value of $1,168.
Total Amount is formed as General ($1,168) + Research ($0) + Ownership ($0) = $1,168.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($212).
Total Amount
$1,168
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $212 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $125 |
| Astellas Pharma US Inc | $100 |
| PFIZER INC. | $90 |
| Amgen Inc. | $82 |
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: 2014-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20140805001365 | I | Nurse Practitioner | IA | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 51040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IA | |
| Family Practice | IA | |
| Family Practice | IA | |
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | NE | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Family Practice | IA |
Reviews
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