MRS. MISTY LYNNE MOORE (FNPC) – Family Nurse Practitioner, NPI 1265623078
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MRS. MISTY LYNNE MOORE (FNPC)
High Street, Hamilton, Golden Horseshoe, Ontario, L8T 3Z4, Canada
HAMILTON, OH 450116078
Phone: (513) 454-1460
Type: Mailing
5563 FAR HILLS AVE
DAYTON, OH 454292225
Phone: (937) 231-2300
Fax: (937) 291-2303
Type: Mailing
1036, South Verity Parkway, Oakland, Middletown, Butler County, Ohio, 45044, United States
MIDDLETOWN, OH 450445513
Phone: (513) 454-1111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-01-19 • Largest payer in this snapshot: ABBVIE INC. ($126).
Total Amount
$172
General + Research + Ownership
Payments
5
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $126 |
| ITI, Inc. | $28 |
| Alkermes, Inc. | $19 |
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: 2025-08-06
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 |
|---|---|---|---|---|
| I20170629001695 | I | Nurse Practitioner | OH | TBD |
| I20250806004296 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Physician Assistant | MA | |
| Physician Assistant | MO | |
| Nurse Practitioner | NC | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | CA |
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