MR. ENOS KENNETH JR. MOSS (RN, MSN, ANP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1548527997
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MR. ENOS KENNETH JR. MOSS (RN, MSN, ANP-BC)
970 Executive Parkway Dr
Saint Louis, MO 631416302
Phone: (314) 628-6550
Type: Location
12125 Conway Road
Suite 160
Saint Louis, MO 63141
Phone: (314) 251-2870
Type: Location
12125 CONWAY ROAD
SUITE 160
SAINT LOUIS, MO 63141
Phone: (314) 251-2870
Type: Mailing
14101 SULLYFIELD CIR STE 400A
CHANTILLY, VA 201511781
Phone: (888) 478-1882
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,657.
Total Amount is formed as General ($1,657) + Research ($0) + Ownership ($0) = $1,657.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Corium, LLC ($259).
Total Amount
$1,657
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,657
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $259 |
| Neurocrine BioSciences Inc. | $209 |
| E.R. Squibb & Sons, L.L.C. | $144 |
| Alkermes, Inc. | $141 |
| Lundbeck LLC | $140 |
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: 2017-07-28
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 |
|---|---|---|---|---|
| I20170728003070 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 282 | 91 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 28 | 22 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 18 | 18 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | MO | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | MO | |
| Nurse Practitioner | MO |
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