STACEY J MOORE (ARNP) – Family Nurse Practitioner, NPI 1275684268
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,387 NURSE PRACTITIONER in KY
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Provider Addresses for STACEY J MOORE (ARNP)
PO BOX 17510
COVINGTON, KY 410170510
Phone: (859) 341-5550
Fax: (859) 344-3782
Type: Mailing
1955, Dixie Highway, Fort Wright Center, Fort Mitchell, Kenton County, Kentucky, 41011, United States
STE C
FT WRIGHT, KY 410112792
Phone: (859) 341-5550
Fax: (859) 344-3782
Type: Location
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 $233.
Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Exeltis, USA Inc. ($36).
Total Amount
$233
General + Research + Ownership
Payments
13
Total payment records
General Amount
$233
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $36 |
| MAYNE PHARMA COMMERCIAL LLC | $35 |
| Gynesonics, Inc. | $35 |
| Astellas Pharma US Inc | $22 |
| Sumitomo Pharma America, Inc. | $21 |
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: 2011-11-16
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20111116000677 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 16 | 16 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 14 | 14 | $0 |
Insurance plans in this area (ZIP 41017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Qualified Audiologist | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| U R O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Qualified Audiologist | OH | |
| Nurse Practitioner | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | KY |
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