MRS. REBECCA ANN HAEFNER MOORE (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366706376
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MRS. REBECCA ANN HAEFNER MOORE (CNP)
121 DREW AVE SE
MADELIA, MN 560621841
Phone: (507) 642-5200
Fax: (507) 642-5218
Type: Mailing
201 N BROAD ST
SUITE 308
MANKATO, MN 560013585
Phone: (507) 345-4448
Type: Mailing
PO BOX 2
MADELIA, MN 560620002
Phone: (507) 621-4654
Fax: (507) 528-7307
Type: Mailing
110 W MAIN ST STE 400
MADELIA, MN 560621440
Phone: (507) 621-4654
Fax: (507) 528-7307
Type: Location
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: 2012-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1012 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20120809000942 | I | Nurse Practitioner | MN | 2023-08-31 |
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.
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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 14 | $0 |
Insurance plans in this area (ZIP 56062)
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