KRISTINE LEIGH MOORE (CNP) – Gerontology Nurse Practitioner, NPI 1376001933

KRISTINE LEIGH MOORE (CNP) is a healthcare provider. based in Windsor, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. AG06180251 (OH). The NPI Number for KRISTINE LEIGH MOORE (CNP) is 1376001933

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE LEIGH MOORE (CNP)
NPI
1376001933
Phone
(440) 563-6830
Address
5691 MEAD HOLLOW RD
Enumeration Date
3 March 2019
Last Update Date
3 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164442200
Graduation Year
2018 (8 years ago)
PAC ID
6406198597
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20190418002485
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for KRISTINE LEIGH MOORE (CNP)

  • 5691 MEAD HOLLOW RD

    WINDSOR, OH 440998700

    Phone: (440) 563-6830

    Type: Mailing

  • 420, Euclid Avenue, Willoughby Acres, Pelican Marsh, Collier County, Florida, 34110, United States

    WILLOUGHBY, OH 440944429

    Phone: (440) 946-4662

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-04-18

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
I20190418002485INurse PractitionerOHTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3434$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 44099)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for KRISTINE LEIGH MOORE (CNP) in the U.S.?
In the U.S., KRISTINE LEIGH MOORE (CNP) is identified by NPI 1376001933.
Is KRISTINE LEIGH MOORE (CNP) currently accepting referrals based on NPI status?
Registry metadata lists KRISTINE LEIGH MOORE (CNP) as active.
What type of care does KRISTINE LEIGH MOORE (CNP) provide?
KRISTINE LEIGH MOORE (CNP)'s profile centers on Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KRISTINE LEIGH MOORE (CNP) tied to Windsor, Ohio?
If you are local to Windsor, Ohio, KRISTINE LEIGH MOORE (CNP) may be relevant to your search.
Why is information missing for KRISTINE LEIGH MOORE (CNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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