MS. STEPHANIE MOORE (CNS) – Clinical Nurse Specialist, NPI 1578834396

MS. STEPHANIE MOORE (CNS) is a healthcare provider. based in Tulsa, Oklahoma. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials CNS. They hold a License No. R0065008 (OK). The NPI Number for MS. STEPHANIE MOORE (CNS) is 1578834396

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. STEPHANIE MOORE (CNS)
NPI
1578834396
Phone
(918) 286-5000
Address
10109 E 79TH ST
Enumeration Date
25 January 2012
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185823154
Graduation Year
2001 (25 years ago)
PAC ID
3678737376
Group Practice PAC ID
1850383662
Professional Enrollment ID
I20120608000423
Address ID
OK740175005CL215XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

123 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OK

Provider Addresses for MS. STEPHANIE MOORE (CNS)

  • 10109 E 79TH ST

    TULSA, OK 741334564

    Phone: (918) 286-5000

    Type: Mailing

  • 6465 S YALE AVE STE 401

    TULSA, OK 741367806

    Phone: (918) 582-3154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,176.

Total Amount is formed as General ($1,176) + Research ($0) + Ownership ($0) = $1,176.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($158).

Total Amount

$1,176

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,176

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

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-08

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
I20120608000423ICertified Clinical Nurse Specialist (Cns)OKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes164106$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)2721$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)2114$0
View full utilization report →

Insurance plans in this area (ZIP 74133)

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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: 1850383662View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OK
-OK
-OK
Nurse PractitionerOK
N E P H R O L O G YOK
Nephrology, Internal MedicineOK
N E P H R O L O G YOK
Nephrology, Internal MedicineOK

Reviews

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Frequently asked questions

What is the standard ID for MS. STEPHANIE MOORE (CNS) in the U.S.?
In the U.S., MS. STEPHANIE MOORE (CNS) is identified by NPI 1578834396.
Should I treat MS. STEPHANIE MOORE (CNS) as an active provider?
Patients and plans typically see MS. STEPHANIE MOORE (CNS) as active in the national extract.
What services align with MS. STEPHANIE MOORE (CNS)'s listing?
MS. STEPHANIE MOORE (CNS)'s public classification highlights Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. STEPHANIE MOORE (CNS)?
MS. STEPHANIE MOORE (CNS) shows a connection to Tulsa, Oklahoma in registry-derived data.
Can I export MS. STEPHANIE MOORE (CNS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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