MRS. REBECCA LYNN MOORE – Counselor, NPI 1649712167

MRS. REBECCA LYNN MOORE is a healthcare provider. based in Ontario, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold a License No. L11672 (OR). The NPI Number for MRS. REBECCA LYNN MOORE is 1649712167

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. REBECCA LYNN MOORE
NPI
1649712167
Phone
Not provided
Address
702 SUNSET DR
Enumeration Date
15 November 2016
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9713526984
Graduation Year
2018 (8 years ago)
PAC ID
7012355142
Group Practice PAC ID
4981872561
Professional Enrollment ID
I20240716004484
Address ID
OR972239058TI11740PKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

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Provider Addresses for MRS. REBECCA LYNN MOORE

  • 702, Sunset Drive, Ontario, Malheur County, Oregon, 97914, United States

    ONTARIO, OR 979143121

    Phone:

    Type: Mailing

  • 331, Southeast 2nd Street, Pendleton, Umatilla County, Oregon, 97801, United States

    PENDLETON, OR 978012224

    Phone: (541) 276-6207

    Type: Location

  • 81786 LINVILLE LN

    UMATILLA, OR 978826155

    Phone: (541) 561-4478

    Type: Mailing

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: 2024-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240409000835IMental Health CounselorORTBD
I20240716004484IClinical Social WorkerORTBD

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 97914)

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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: 4981872561View full group profile

Reviews

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Frequently asked questions

Does MRS. REBECCA LYNN MOORE have a public NPI I can cite?
Public records show MRS. REBECCA LYNN MOORE under NPI 1649712167.
Does the public listing show MRS. REBECCA LYNN MOORE as active?
MRS. REBECCA LYNN MOORE's NPI record reflects an active status in NPPES.
How should patients interpret MRS. REBECCA LYNN MOORE's specialty?
The extract shows Counselor for MRS. REBECCA LYNN MOORE. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. REBECCA LYNN MOORE?
MRS. REBECCA LYNN MOORE shows a connection to Ontario, Oregon in registry-derived data.
Who maintains MRS. REBECCA LYNN MOORE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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