MRS. AMANDA DAWN MOORE (APRN) – Family Nurse Practitioner, NPI 1700361110
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for MRS. AMANDA DAWN MOORE (APRN)
7296 D 1376 RD
HOLDENVILLE, OK 748486008
Phone: (580) 272-3500
Type: Mailing
1102, West Main Street, Henryetta, Okmulgee County, Oklahoma, 74437, United States
HENRYETTA, OK 744374232
Phone: (918) 652-9614
Type: Location
1921 STONECIPHER DR
ADA, OK 748203439
Phone: (580) 421-4532
Fax: (580) 421-4572
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Insulet Corporation ($17).
Total Amount
$45
General + Research + Ownership
Payments
3
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Insulet Corporation | $17 |
| Corcept Therapeutics | $15 |
| ABBVIE INC. | $13 |
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: 2020-12-04
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 |
|---|---|---|---|---|
| I20201204001076 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 233 | 125 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 34 | 30 | $0 |
Insurance plans in this area (ZIP 74848)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | OK | |
| - | OK | |
| - | MO | |
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| O P T O M E T R Y | OK | |
| Nurse Practitioner | OK |
Reviews
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