MISTI DAWN MOORE (FNP) – Family Nurse Practitioner, NPI 1558851329
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
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Provider Addresses for MISTI DAWN MOORE (FNP)
Hy-Vee, 109, North Blue Jay Drive, Liberty Triangle, Liberty, Clay County, Missouri, 64068, United States
LIBERTY, MO 640681906
Phone: (166) 911-4248
Fax: (816) 480-4511
Type: Mailing
109 N Blue Jay Dr
Liberty, MO 640681906
Phone: (816) 691-1424
Fax: (816) 480-4511
Type: Location
5301 FARAON ST STE 120
SAINT JOSEPH, MO 645063512
Phone: (816) 271-1066
Fax: (816) 271-6786
Type: Mailing
207 S MAIN ST
TROY, KS 660874017
Phone: (785) 985-2211
Fax: (785) 985-2444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: ABIOMED ($80).
Total Amount
$80
General + Research + Ownership
Payments
4
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $80 |
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: 2018-07-19
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 |
|---|---|---|---|---|
| I20180719000234 | 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 | 150 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 38 | $0 |
Insurance plans in this area (ZIP 64068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Family Practice, Osteopathic Manipulative Medicine | MO | |
| - | MO | |
| - | MO | |
| Hospitalist, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | DE | |
| General Surgery | MO | |
| N E U R O L O G Y | MO | |
| A N E S T H E S I O L O G Y | MO |
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