JENNIFER MOORE (APRN) – Family Nurse Practitioner, NPI 1740691781

JENNIFER MOORE (APRN) is a healthcare provider. based in Paintsville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3008637 (KY). The NPI Number for JENNIFER MOORE (APRN) is 1740691781

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MOORE (APRN)
NPI
1740691781
Phone
(606) 789-8749
Address
838 S MAYO TRL
Enumeration Date
13 May 2014
Last Update Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025523879
Graduation Year
2014 (12 years ago)
PAC ID
0446476808
Group Practice PAC ID
2264874866
Professional Enrollment ID
I20140722000878
Address ID
KY405054877LE2277XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JENNIFER MOORE (APRN)

  • 838 S MAYO TRL

    PAINTSVILLE, KY 412401384

    Phone: (606) 789-8749

    Fax: (606) 789-2060

    Type: Location

  • 6216 Highland Place Way Ste 102

    Knoxville, TN 379194068

    Phone: (865) 470-6121

    Fax: (866) 549-5151

    Type: Location

  • 625 JAMES S. TRIMBLE BLVD

    PAINTSVILLE, KY 41240

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1045 days ago).

Enrollment records

3

Earliest due date

2023-07-31

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
I20140722000878INurse PractitionerKY2023-07-31
I20250418001206INurse PractitionerOHTBD
I20250422002315IPhysician AssistantTNTBD

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.

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes623112$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes548106$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month17157$0
99497Advance care planning, first 30 minutes4339$0
99315Nursing facility discharge day management, 30 minutes or less2019$0
View full utilization report →

Insurance plans in this area (ZIP 41240)

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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: 2264874866View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does JENNIFER MOORE (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNIFER MOORE (APRN) uses 1740691781.
Does CMS list JENNIFER MOORE (APRN) as active?
Yes — JENNIFER MOORE (APRN) is active in the NPI listing used on this page.
What healthcare role does JENNIFER MOORE (APRN) hold?
Scheduling teams often label JENNIFER MOORE (APRN) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JENNIFER MOORE (APRN) based?
JENNIFER MOORE (APRN) is tied to Paintsville, Kentucky in the data we show; additional addresses may exist on the full record.
Why does JENNIFER MOORE (APRN) 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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