MS. KENDRA MOORE (PA-C) – Medical Physician Assistant, NPI 1346690583
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for MS. KENDRA MOORE (PA-C)
9, Vose Avenue, Academy Heights, South Orange, Essex County, New Jersey, 07079, United States
APARTMENT 215
SOUTH ORANGE, NJ 070792007
Phone: (973) 508-5298
Type: Mailing
St. Mary's General Hospital, 350, Boulevard, Passaic, Passaic County, New Jersey, 07055, United States
PASSAIC, NJ 070552840
Phone: (973) 365-4300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-03-31 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $14 |
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: 2026-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160805000329 | I | Physician Assistant | NJ | TBD |
| I20260310001734 | I | Physician Assistant | NY | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 68 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 19 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 26 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 14 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 15 | $0 |
Insurance plans in this area (ZIP 07079)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | VA | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | NJ | |
| Physician Assistant | NY | |
| - | NJ | |
| P O D I A T R Y | NJ | |
| G A S T R O E N T E R O L O G Y | PA |
Reviews
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