MRS. MARY ROSE MOORE (FNP-C) – Family Nurse Practitioner, NPI 1205205804

MRS. MARY ROSE MOORE (FNP-C) is a healthcare provider. based in Lyndhurst, Ohio. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. APRN.CNP.18094 (OH). The NPI Number for MRS. MARY ROSE MOORE (FNP-C) is 1205205804

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY ROSE MOORE (FNP-C)
NPI
1205205804
Phone
Not provided
Address
1443 RICHMOND RD
Enumeration Date
24 September 2015
Last Update Date
3 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2015 (11 years ago)
PAC ID
1850600073
Group Practice PAC ID
2961425608
Professional Enrollment ID
I20151028002532
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MRS. MARY ROSE MOORE (FNP-C)

  • 1443 RICHMOND RD

    LYNDHURST, OH 44124

    Phone:

    Type: Mailing

  • 1443 RICHMOND ROAD

    LYNDHURST, OH 44124

    Phone: (866) 389-2727

    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 $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: TerSera Therapeutics LLC ($30).

Total Amount

$90

General + Research + Ownership

Payments

4

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99213Established patient office or other outpatient visit, 20-29 minutes6155$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3331$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
G0008Administration of influenza virus vaccine2323$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2323$0
View full utilization report →

Insurance plans in this area (ZIP 44124)

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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: 2961425608View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MRS. MARY ROSE MOORE (FNP-C) in the U.S.?
In the U.S., MRS. MARY ROSE MOORE (FNP-C) is identified by NPI 1205205804.
Quick check: is MRS. MARY ROSE MOORE (FNP-C) active?
Public NPPES data shows MRS. MARY ROSE MOORE (FNP-C) with an active NPI status right now.
What type of care does MRS. MARY ROSE MOORE (FNP-C) provide?
MRS. MARY ROSE MOORE (FNP-C)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. MARY ROSE MOORE (FNP-C)?
MRS. MARY ROSE MOORE (FNP-C) shows a connection to Lyndhurst, Ohio in registry-derived data.
Can I export MRS. MARY ROSE MOORE (FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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