MAEGHAN MOORE – Family Nurse Practitioner, NPI 1154057933

MAEGHAN MOORE is a healthcare provider. based in Kimball, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704323982 (MI). The NPI Number for MAEGHAN MOORE is 1154057933

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MAEGHAN MOORE
NPI
1154057933
Phone
(810) 956-7962
Address
2877 EASTWOOD DR
Enumeration Date
25 July 2022
Last Update Date
8 January 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5869777246
Graduation Year
2022 (4 years ago)
PAC ID
5597134080
Group Practice PAC ID
9537308192
Professional Enrollment ID
I20221205002232
Address ID
MI483104288ST35634RDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MAEGHAN MOORE

  • 2877 EASTWOOD DR

    KIMBALL, MI 480741500

    Phone: (810) 956-7962

    Type: Mailing

  • 1431 AIRPORT RD

    WATERFORD, MI 483271809

    Phone: (248) 479-6150

    Fax: (248) 710-2200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $4,504.

Total Amount is formed as General ($4,504) + Research ($0) + Ownership ($0) = $4,504.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($1,970).

Total Amount

$4,504

General + Research + Ownership

Payments

95

Total payment records

General Amount

$4,504

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: 2022-12-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221205002232INurse PractitionerMITBD

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 minutes4643$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms1919$0
View full utilization report →

Insurance plans in this area (ZIP 48074)

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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: 9537308192View full group profile
NameSpecialtyState
Pain Management, Anesthesiology, Interventional Pain ManagementMI
Physician AssistantMI
Physician AssistantMI
Anesthesiology, Pain ManagementMI
Anesthesiology, Pain ManagementOH
Anesthesiology, Pain ManagementMI
Physician AssistantMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What number should I use to identify MAEGHAN MOORE for billing?
Administrative and clinical systems typically use NPI 1154057933 for MAEGHAN MOORE.
Is MAEGHAN MOORE's NPI status active today?
Active status means MAEGHAN MOORE's NPI record is not deactivated in the public file.
How should patients interpret MAEGHAN MOORE's specialty?
The extract shows Family Nurse Practitioner for MAEGHAN MOORE. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MAEGHAN MOORE?
MAEGHAN MOORE is associated with Kimball, Michigan in the same public data insurers reference.
Who maintains MAEGHAN MOORE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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