TARA LEIGH MOORE (FNP) – Family Nurse Practitioner, NPI 1417414293

TARA LEIGH MOORE (FNP) is a healthcare provider. based in Brighton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 197868 (MA). The NPI Number for TARA LEIGH MOORE (FNP) is 1417414293

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TARA LEIGH MOORE (FNP)
NPI
1417414293
Phone
(617) 789-3191
Address
11 Nevins St
Enumeration Date
27 February 2019
Last Update Date
5 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784621110
Graduation Year
2018 (8 years ago)
PAC ID
2860725199
Group Practice PAC ID
0143548198
Professional Enrollment ID
I20190531000896
Address ID
MA019504014NE7XXXXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for TARA LEIGH MOORE (FNP)

  • 11 Nevins St

    Brighton, MA 021353514

    Phone: (617) 789-3191

    Type: Location

  • C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT

    PO BOX 7291

    LEWISTON, ME 042437291

    Phone: (207) 777-8695

    Fax: (207) 777-8800

    Type: Mailing

  • Saint Joseph Hospital, 172, Kinsley Street, Ward 6, Nashua, Hillsborough County, New Hampshire, 03060, United States

    NASHUA, NH 030603648

    Phone: (603) 595-3175

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 124 Open Payments records for all available years, with a total value of $2,595.

Total Amount is formed as General ($2,595) + Research ($0) + Ownership ($0) = $2,595.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($536).

Total Amount

$2,595

General + Research + Ownership

Payments

124

Total payment records

General Amount

$2,595

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2019-05-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190531000896INurse PractitionerMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes327255$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report253203$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18678$0
99213Established patient office or other outpatient visit, 20-29 minutes7358$0
View full utilization report →

Insurance plans in this area (ZIP 02135)

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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: 0143548198View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMA
Nurse PractitionerMD
Nurse PractitionerMA
Cardiovascular Disease (Cardiology), Internal MedicineMA
Cardiovascular Disease (Cardiology), Internal MedicineMA
Cardiovascular Disease (Cardiology), Internal MedicineMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do payers reference TARA LEIGH MOORE (FNP)?
For TARA LEIGH MOORE (FNP), use NPI 1417414293 as the unique 10-digit identifier.
Would TARA LEIGH MOORE (FNP) appear as active to a payer?
You can treat TARA LEIGH MOORE (FNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe TARA LEIGH MOORE (FNP)'s focus?
For TARA LEIGH MOORE (FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TARA LEIGH MOORE (FNP)?
Travel planning: use Brighton, Massachusetts as the reference point for TARA LEIGH MOORE (FNP), then confirm.
Does TARA LEIGH MOORE (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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