GLORIA L MOORE (FNP) – Family Nurse Practitioner, NPI 1073235859
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for GLORIA L MOORE (FNP)
1530 Pine Grove Ave Ste 1
Port Huron, MI 480603370
Phone: (810) 357-8769
Type: Location
5316 Lakeshore Rd
Fort Gratiot, MI 480593118
Phone: (810) 357-8792
Fax: (810) 512-7725
Type: Location
2601 Electric Ave
Port Huron, MI 480606587
Phone: (810) 216-1500
Type: Location
100 SAINT JAMES ST
MARYSVILLE, MI 480402301
Phone: (586) 709-0446
Type: Mailing
2601 ELECTRIC AVE
PORT HURON, MI 480606587
Phone: (810) 216-1500
Type: Location
1530 PINE GROVE AVE STE 1
PORT HURON, MI 480603370
Phone: (810) 357-8769
Type: Location
5316 LAKESHORE RD
FORT GRATIOT, MI 480593118
Phone: (810) 357-8792
Fax: (810) 512-7725
Type: Mailing
18000 W 9 MILE RD STE 525
SOUTHFIELD, MI 480754080
Phone: (248) 327-6196
Fax: (877) 311-5596
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $126.
Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.
Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Rhythm Pharmaceuticals, Inc. ($108).
Total Amount
$126
General + Research + Ownership
Payments
2
Total payment records
General Amount
$126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Rhythm Pharmaceuticals, Inc. | $108 |
| E.R. Squibb & Sons, L.L.C. | $18 |
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: 2023-10-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231005003016 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| N E U R O L O G Y | MI | |
| N E U R O L O G Y | MI | |
| N E U R O L O G Y | MI | |
| N E U R O L O G Y | MI | |
| Internal Medicine | MI |
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