EBONY MOOREFIELD (APRN-CNP) – Nurse Practitioner, NPI 1629064647

EBONY MOOREFIELD (APRN-CNP) is a healthcare provider. based in Cincinnati, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 2319753 (MA). The NPI Number for EBONY MOOREFIELD (APRN-CNP) is 1629064647

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
EBONY MOOREFIELD (APRN-CNP)
NPI
1629064647
Phone
(513) 636-7966
Address
3333 BURNET AVENUE
Enumeration Date
26 September 2005
Last Update Date
6 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5136364200
Graduation Year
1997 (29 years ago)
PAC ID
4880830132
Group Practice PAC ID
8426955733
Professional Enrollment ID
I20130411000536
Address ID
OH452293026CI3333XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for EBONY MOOREFIELD (APRN-CNP)

  • Cincinnati Children’s Hospital Medical Center, 3333, Burnet Avenue, Avondale, Cincinnati, Hamilton County, Ohio, 45229, United States

    ML 2008

    CINCINNATI, OH 452293026

    Phone: (513) 636-7966

    Fax: (513) 636-7967

    Type: Mailing

  • 3333 Burnet Ave

    ML 2023

    Cincinnati, OH 452293026

    Phone: (513) 636-3240

    Fax: (513) 636-3248

    Type: Location

  • 300 Longwood Ave

    Boston, MA 021155724

    Phone: (617) 355-6000

    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: 2013-04-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130411000536INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45229)

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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: 8426955733View full group profile

Reviews

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Frequently asked questions

How do I look up EBONY MOOREFIELD (APRN-CNP) by NPI?
Use NPI 1629064647 when you need to reference EBONY MOOREFIELD (APRN-CNP) in forms, claims, or directories.
Is EBONY MOOREFIELD (APRN-CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize EBONY MOOREFIELD (APRN-CNP)'s specialty in plain language?
Clinically, the directory lists EBONY MOOREFIELD (APRN-CNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for EBONY MOOREFIELD (APRN-CNP)?
The page summarizes Cincinnati, Ohio for EBONY MOOREFIELD (APRN-CNP); expand the address list for detail.
How can I contact EBONY MOOREFIELD (APRN-CNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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