MRS. NICOLE JONES MOORE (NP) – Family Nurse Practitioner, NPI 1245890144
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MRS. NICOLE JONES MOORE (NP)
16 RIVIERA CIR
HATTIESBURG, MS 394028682
Phone:
Type: Mailing
3 JOHN EVERETT RD
MOSELLE, MS 394599771
Phone: (251) 753-9148
Type: Location
102 E HOSPITAL DR
HATTIESBURG, MS 394021310
Phone: (601) 475-9968
Fax: (601) 475-9969
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 214 Open Payments records for all available years, with a total value of $3,416.
Total Amount is formed as General ($3,416) + Research ($0) + Ownership ($0) = $3,416.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($800).
Total Amount
$3,416
General + Research + Ownership
Payments
214
Total payment records
General Amount
$3,416
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $800 |
| GENZYME CORPORATION | $465 |
| Novartis Pharmaceuticals Corporation | $450 |
| Janssen Biotech, Inc. | $330 |
| Regeneron Healthcare Solutions, Inc. | $179 |
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: 2019-08-06
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 |
|---|---|---|---|---|
| I20190806000316 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 225 | 160 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 149 | 29 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 131 | 114 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 82 | 82 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 67 | 44 | $0 |
Insurance plans in this area (ZIP 39402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MS | |
| Nurse Practitioner | MS | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | MS | |
| Nurse Practitioner | MS | |
| Physician Assistant | MS | |
| D E R M A T O L O G Y | MS | |
| Nurse Practitioner | MS | |
| D E R M A T O L O G Y | MS |
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