CYNTHIA LYNNE MOORE (APRN) – Family Nurse Practitioner, NPI 1396748752

CYNTHIA LYNNE MOORE (APRN) is a healthcare provider. based in Shawnee, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 44641 (KS). The NPI Number for CYNTHIA LYNNE MOORE (APRN) is 1396748752

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA LYNNE MOORE (APRN)
NPI
1396748752
Phone
(913) 588-2200
Address
7405 RENNER RD
Enumeration Date
31 May 2005
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135886600
Graduation Year
1997 (29 years ago)
PAC ID
6709819196
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20050916000847
Address ID
KS662179414SH7405XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for CYNTHIA LYNNE MOORE (APRN)

  • 7405 RENNER RD

    SHAWNEE, KS 662179414

    Phone: (913) 588-2200

    Fax: (913) 588-8423

    Type: Location

  • Minnesota Avenue, Calumet, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, KS 661012806

    Phone: (913) 371-9966

    Fax: (913) 371-1936

    Type: Mailing

  • 6955 GREENWOOD ST

    SHAWNEE, KS 662163905

    Phone: (816) 589-3464

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($49).

Total Amount

$49

General + Research + Ownership

Payments

1

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

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: 2009-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050916000847INurse PractitionerKSTBD
I20090504000293INurse PractitionerMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 66217)

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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: 8921911587View full group profile
NameSpecialtyState
Family PracticeKS
Nurse PractitionerKS
-MO
Certified Registered Nurse Anesthetist (Crna)KS
-KS
-KS
Rheumatology, Internal MedicinePA
-MO
Qualified AudiologistMO
Hospitalist, Internal MedicineKS

Reviews

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Frequently asked questions

Can I cross-check CYNTHIA LYNNE MOORE (APRN) using NPI 1396748752?
NPI 1396748752 belongs to CYNTHIA LYNNE MOORE (APRN); compare other details if you need extra assurance.
Active or inactive — what applies to CYNTHIA LYNNE MOORE (APRN)?
You should see CYNTHIA LYNNE MOORE (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with CYNTHIA LYNNE MOORE (APRN)?
CYNTHIA LYNNE MOORE (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CYNTHIA LYNNE MOORE (APRN) associated with Shawnee?
Public fields place CYNTHIA LYNNE MOORE (APRN) around Shawnee, Kansas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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