SHAWNA D MOORE (APRN) – Family Nurse Practitioner, NPI 1730374349

SHAWNA D MOORE (APRN) is a healthcare provider. based in Springfield, Missouri. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 2002005693 (MO). The NPI Number for SHAWNA D MOORE (APRN) is 1730374349

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
SHAWNA D MOORE (APRN)
NPI
1730374349
Phone
(417) 829-4620
Address
PO BOX 2580
Enumeration Date
7 September 2007
Last Update Date
28 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178885638
Graduation Year
2007 (19 years ago)
PAC ID
4284883836
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20120926000088
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for SHAWNA D MOORE (APRN)

  • PO BOX 2580

    SPRINGFIELD, MO 658012580

    Phone: (417) 829-4620

    Type: Mailing

  • 518, Pine Street, Steelville, Crawford County, Missouri, 65565, United States

    STEELVILLE, MO 655656041

    Phone: (573) 775-5838

    Fax: (573) 729-4035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $626.

Total Amount is formed as General ($626) + Research ($0) + Ownership ($0) = $626.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($137).

Total Amount

$626

General + Research + Ownership

Payments

39

Total payment records

General Amount

$626

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: 2012-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (985 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
I20120926000088INurse PractitionerMO2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
81003Automated urinalysis test3726$0
View full utilization report →

Insurance plans in this area (ZIP 65801)

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Provider's Procedures

SHAWNA D MOORE (APRN) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMO81002Urinalysis, manual test4741

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: 7416865845View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to SHAWNA D MOORE (APRN)?
NPI 1730374349 is assigned to SHAWNA D MOORE (APRN) under the national enumeration system.
Is SHAWNA D MOORE (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SHAWNA D MOORE (APRN)?
The page reflects Family Nurse Practitioner for SHAWNA D MOORE (APRN). Clinical services aligned with this taxonomy classification.
Where does public data place SHAWNA D MOORE (APRN)?
The snapshot lists Springfield, Missouri for SHAWNA D MOORE (APRN); download NPPES for the complete set.
What if Springfield, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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