MRS. TINA LYNN MOONEY (FPN,C) – Family Nurse Practitioner, NPI 1154559425
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MRS. TINA LYNN MOONEY (FPN,C)
1011 Bowles Ave Ste 300
Fenton, MO 630262387
Phone: (314) 647-8269
Fax: (314) 646-1700
Type: Location
10012 Kennerly Rd Ste 403
Saint Louis, MO 63128
Phone: (314) 880-6676
Fax: (314) 842-4372
Type: Location
Kennerly Road, Concord, Saint Louis County, Missouri, 63128, United States
SAINT LOUIS, MO 631282197
Phone: (314) 880-6676
Fax: (314) 842-4372
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $598.
Total Amount is formed as General ($598) + Research ($0) + Ownership ($0) = $598.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($278).
Total Amount
$598
General + Research + Ownership
Payments
13
Total payment records
General Amount
$598
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
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $278 |
| ABIOMED | $157 |
| CVRx, Inc. | $39 |
| Integra LifeSciences Corporation | $37 |
| W. L. Gore & Associates, Inc. | $33 |
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: 2014-07-09
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 |
|---|---|---|---|---|
| I20140709001279 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99239 | Hospital discharge day management, more than 30 minutes | 17 | 17 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Thoracic Surgery | GA | |
| Cardiac Surgery | PA | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| General Surgery, Thoracic Surgery | MO |
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