CLARE ADAMS MOORE (FNP) – Nurse Practitioner, NPI 1104332089
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
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Provider Addresses for CLARE ADAMS MOORE (FNP)
810, East Sunflower Road, Cleveland, Bolivar County, Mississippi, 38732, United States
CLEVELAND, MS 387322800
Phone: (662) 579-0136
Type: Location
106, South Pearman Avenue, Cleveland, Bolivar County, Mississippi, 38732, United States
CLEVELAND, MS 387323246
Phone: (662) 719-5911
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($93).
Total Amount
$170
General + Research + Ownership
Payments
10
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $93 |
| Dexcom, Inc. | $38 |
| Novartis Pharmaceuticals Corporation | $23 |
| Lilly USA, LLC | $16 |
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: 2018-01-24
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 |
|---|---|---|---|---|
| I20180124001091 | I | Nurse Practitioner | MS | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 295 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 204 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 194 | 141 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 163 | 38 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 121 | 84 | $0 |
Insurance plans in this area (ZIP 38732)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Internal Medicine | MS | |
| - | MS | |
| - | MS | |
| - | MS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MS | |
| General Surgery | VA | |
| U R O L O G Y | MS | |
| Thoracic Surgery | MI | |
| Nurse Practitioner | MS |
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