KATHLEEN MARIE MOORE (APRN-CNP) – Adult Health Nurse Practitioner, NPI 1053573717
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KATHLEEN MARIE MOORE (APRN-CNP)
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 366-3687
Fax: (614) 293-9698
Type: Mailing
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 432123154
Phone: (614) 366-3687
Fax: (614) 293-9698
Type: Location
920 N HAMILTON RD STE 500
GAHANNA, OH 432301757
Phone: (614) 293-4969
Fax: (614) 293-6111
Type: Location
700, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States
SUITE 570
COLUMBUS, OH 432021559
Phone: (614) 293-4969
Fax: (614) 293-6111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $16,926.
Total Amount is formed as General ($16,926) + Research ($0) + Ownership ($0) = $16,926.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: ABBVIE INC. ($16,926).
Total Amount
$16,926
General + Research + Ownership
Payments
3
Total payment records
General Amount
$16,926
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $16,926 |
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: 2013-05-11
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 |
|---|---|---|---|---|
| I20130511000112 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 92504 | Exam of ear using a microscope | 153 | 146 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 99 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 53 | $0 |
| 69210 | Removal of impacted ear wax | 46 | 44 | $0 |
Insurance plans in this area (ZIP 43202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Sleep Medicine | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| N E U R O L O G Y | OH | |
| N E U R O L O G Y | OH | |
| Epileptologists, Neurology, Sleep Medicine | OH | |
| - | OH | |
| Epileptologists, Neurology | OH | |
| N E U R O L O G Y | OH | |
| Nurse Practitioner | OH |
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