MRS. AMY ELIZABETH MORAN (AGPCNP-BC) – Adult Health Nurse Practitioner, NPI 1114391067

MRS. AMY ELIZABETH MORAN (AGPCNP-BC) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 2015040100 (MO). The NPI Number for MRS. AMY ELIZABETH MORAN (AGPCNP-BC) is 1114391067

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY ELIZABETH MORAN (AGPCNP-BC)
NPI
1114391067
Phone
(314) 525-4325
Address
10012 KENNERLY RD
Enumeration Date
16 November 2015
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142516840
Graduation Year
2015 (11 years ago)
PAC ID
2769785674
Group Practice PAC ID
1153455076
Professional Enrollment ID
I20160127001937
Address ID
MO631282197SA10012RDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. AMY ELIZABETH MORAN (AGPCNP-BC)

  • 10012 KENNERLY RD

    SUITE 305

    SAINT LOUIS, MO 631282197

    Phone: (314) 525-4325

    Fax: (314) 525-4365

    Type: Mailing

  • 10012 KENNERLY RD STE 101

    SAINT LOUIS, MO 631282197

    Phone: (314) 525-4325

    Fax: (314) 525-4365

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $561.

Total Amount is formed as General ($561) + Research ($0) + Ownership ($0) = $561.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABIOMED ($133).

Total Amount

$561

General + Research + Ownership

Payments

22

Total payment records

General Amount

$561

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-01-27

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
I20160127001937INurse PractitionerMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9085$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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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: 1153455076View full group profile

Reviews

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Frequently asked questions

What is MRS. AMY ELIZABETH MORAN (AGPCNP-BC)'s NPI number?
MRS. AMY ELIZABETH MORAN (AGPCNP-BC)'s NPI is 1114391067 — the number used across U.S. healthcare to identify this provider.
Is MRS. AMY ELIZABETH MORAN (AGPCNP-BC) still an active registrant?
MRS. AMY ELIZABETH MORAN (AGPCNP-BC) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. AMY ELIZABETH MORAN (AGPCNP-BC)?
MRS. AMY ELIZABETH MORAN (AGPCNP-BC)'s specialty line reads Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. AMY ELIZABETH MORAN (AGPCNP-BC)?
Directory geography for MRS. AMY ELIZABETH MORAN (AGPCNP-BC) centers on Saint Louis, Missouri.
When was this NPI issued?
Enumeration for MRS. AMY ELIZABETH MORAN (AGPCNP-BC) is noted as November 16, 2015 where the registry provides it.

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