SIMONA LYDIA MOORE (C.N.P.) – Family Nurse Practitioner, NPI 1679502181
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for SIMONA LYDIA MOORE (C.N.P.)
206 S MULBERRY ST STE A
MOUNT VERNON, OH 430503331
Phone: (740) 326-1231
Fax: (740) 326-1175
Type: Mailing
206, South Mulberry Street, East Gambier Street Historic District, Mount Vernon, Knox County, Ohio, 43050, United States
MOUNT VERNON, OH 430503331
Phone: (740) 399-3008
Fax: (740) 393-3009
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $669.
Total Amount is formed as General ($669) + Research ($0) + Ownership ($0) = $669.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($342).
Total Amount
$669
General + Research + Ownership
Payments
33
Total payment records
General Amount
$669
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $342 |
| Abbott Laboratories | $103 |
| Insulet Corporation | $85 |
| PFIZER INC. | $54 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $23 |
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: 2010-07-27
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 |
|---|---|---|---|---|
| I20100727000321 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43050)
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Provider's Procedures
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