MRS. SARA JANE MOORE (AGACNP) – Acute Care Nurse Practitioner, NPI 1487204558
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for MRS. SARA JANE MOORE (AGACNP)
PO BOX 5329
SAGINAW, MI 486030329
Phone: (616) 364-6700
Fax: (989) 401-4235
Type: Mailing
Mercy Health Saint Mary's, 200, Jefferson Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 495034502
Phone: (616) 914-1693
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 $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Medtronic, Inc. ($23).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $23 |
| Boston Scientific Corporation | $21 |
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: 2019-11-12
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 |
|---|---|---|---|---|
| I20191112000997 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77002 | Fluoroscopic guidance for needle placement | 23 | 22 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 20 | 19 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 17 | 14 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 12 | 12 | $0 |
Insurance plans in this area (ZIP 48603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Physician Assistant | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Nurse Practitioner | LA |
Reviews
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