SUSAN M MOORE (APRN) – Acute Care Nurse Practitioner, NPI 1245348267
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
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Provider Addresses for SUSAN M MOORE (APRN)
202, West 12th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States
EMPORIA, KS 668012589
Phone: (620) 342-2521
Fax: (620) 342-6520
Type: Location
1418 S MAIN ST STE 1
OTTAWA, KS 660673544
Phone: (785) 229-3561
Fax: (785) 229-3529
Type: Mailing
Stormont Vail Health, 1500, Southwest 10th Avenue, Topeka, Shawnee County, Kansas, 66604, United States
MEDICAL STAFF SERVICES
TOPEKA, KS 666041301
Phone: (785) 354-6241
Fax: (785) 270-4343
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $30,682.
Total Amount is formed as General ($30,682) + Research ($0) + Ownership ($0) = $30,682.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($30,413).
Total Amount
$30,682
General + Research + Ownership
Payments
13
Total payment records
General Amount
$30,682
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $30,413 |
| Nevro Corp. | $128 |
| Organon LLC | $83 |
| Inari Medical, Inc. | $24 |
| Merck Sharp & Dohme LLC | $17 |
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: 2006-12-04
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 |
|---|---|---|---|---|
| I20061204000218 | I | Nurse Practitioner | KS | 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 |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 418 | 418 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 381 | 381 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 326 | 326 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 242 | 242 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 84 | 84 | $0 |
Insurance plans in this area (ZIP 66801)
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