MRS. DENISE R MOORE (ACNP-BC) – Acute Care Nurse Practitioner, NPI 1790098580

MRS. DENISE R MOORE (ACNP-BC) is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC. They hold a License No. 089074 (MO). The NPI Number for MRS. DENISE R MOORE (ACNP-BC) is 1790098580

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DENISE R MOORE (ACNP-BC)
NPI
1790098580
Phone
(417) 875-3462
Address
PO BOX 9007
Enumeration Date
21 July 2010
Last Update Date
27 December 2018

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4178753000
Graduation Year
2009 (17 years ago)
PAC ID
8527183250
Group Practice PAC ID
1254248917
Professional Enrollment ID
I20100917000274
Address ID
MO658075230SP3850XAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MRS. DENISE R MOORE (ACNP-BC)

  • PO BOX 9007

    SPRINGFIELD, MO 658089007

    Phone: (417) 875-3462

    Type: Mailing

  • 3850 S NATIONAL AVE

    520

    SPRINGFIELD, MO 658075287

    Phone: (417) 875-2607

    Fax: (417) 875-2674

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $458.

Total Amount is formed as General ($458) + Research ($0) + Ownership ($0) = $458.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Celgene Corporation ($129).

Total Amount

$458

General + Research + Ownership

Payments

25

Total payment records

General Amount

$458

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2010-09-17

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
I20100917000274INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes254143$0
99213Established patient office or other outpatient visit, 20-29 minutes193159$0
View full utilization report →

Insurance plans in this area (ZIP 65808)

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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: 1254248917View full group profile
NameSpecialtyState
Nurse PractitionerMO
Physical Medicine And RehabilitationMO
Clinical PsychologistMO
Nurse PractitionerMO
Clinical PsychologistMO
Physician AssistantMO
Physician AssistantMO
-MD
H E M A T O L O G Y/ O N C O L O G YIL
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. DENISE R MOORE (ACNP-BC)?
MRS. DENISE R MOORE (ACNP-BC) — NPI 1790098580 — is the standard way to identify this listing.
Does the file indicate MRS. DENISE R MOORE (ACNP-BC) is practicing under active NPI?
Directory data currently reports MRS. DENISE R MOORE (ACNP-BC) as active.
What is MRS. DENISE R MOORE (ACNP-BC) best known for clinically?
Directory data describes MRS. DENISE R MOORE (ACNP-BC) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. DENISE R MOORE (ACNP-BC) based?
MRS. DENISE R MOORE (ACNP-BC) is tied to Springfield, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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