DENISE MOORE – Family Nurse Practitioner, NPI 1346705472

DENISE MOORE is a healthcare provider. based in Crestwood, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 3013070 (KY). The NPI Number for DENISE MOORE is 1346705472

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DENISE MOORE
NPI
1346705472
Phone
(502) 758-0795
Address
4102 DEER RUN RD
Enumeration Date
3 February 2019
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5028978100
Graduation Year
2018 (8 years ago)
PAC ID
2163751017
Group Practice PAC ID
2860890704
Professional Enrollment ID
I20230623002279
Address ID
KY402074605LO4000XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

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Provider Addresses for DENISE MOORE

  • Deer Run Road, Crestwood, Rutherford County, Tennessee, 37128, United States

    CRESTWOOD, KY 400149227

    Phone: (502) 758-0795

    Type: Location

  • 1373 E State Road 62

    Madison, IN 472507328

    Phone: (812) 801-0800

    Type: Location

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 $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Chiesi USA, Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$122
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: 2023-06-23

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
I20190903001223INurse PractitionerINTBD
I20230623002279INurse PractitionerKYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9863$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4946$0
99238Hospital discharge day management, 30 minutes or less2929$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2825$0
View full utilization report →

Insurance plans in this area (ZIP 40014)

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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: 2860890704View full group profile
NameSpecialtyState
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Nurse PractitionerKY
Physician AssistantKY

Reviews

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Frequently asked questions

Can I use this page to confirm DENISE MOORE's NPI?
Yes. DENISE MOORE is listed with NPI 1346705472 in the public NPI dataset.
Can I rely on DENISE MOORE being an active provider?
As of the registry snapshot, DENISE MOORE is marked active.
What taxonomy line describes DENISE MOORE?
For research purposes, treat DENISE MOORE as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does DENISE MOORE list a practice location?
Patients near Crestwood, Kentucky may find DENISE MOORE in results; validate coverage separately.
Why does DENISE MOORE have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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