JO-ANN M MOORE (RN, MSN, ANP-C) – Nurse Practitioner, NPI 1104134113

JO-ANN M MOORE (RN, MSN, ANP-C) is a healthcare provider. based in Cranston, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MSN, ANP-C. They hold a License No. NPP37578 (RI). The NPI Number for JO-ANN M MOORE (RN, MSN, ANP-C) is 1104134113

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JO-ANN M MOORE (RN, MSN, ANP-C)
NPI
1104134113
Phone
(401) 946-8446
Address
1681 CRANSTON ST STE D
Enumeration Date
24 September 2010
Last Update Date
30 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017576160
Graduation Year
2010 (16 years ago)
PAC ID
9638358765
Group Practice PAC ID
3072913714
Professional Enrollment ID
I20110121000484
Address ID
RI029172408SM400XXPIKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,473 NURSE PRACTITIONER in RI

Provider Addresses for JO-ANN M MOORE (RN, MSN, ANP-C)

  • 1681 CRANSTON ST STE D

    CRANSTON, RI 029205000

    Phone: (401) 946-8446

    Fax: (401) 946-8340

    Type: Location

  • 65 EDDIE DOWLING HWY

    NORTH SMITHFIELD, RI 028967305

    Phone: (401) 597-5353

    Fax: (401) 769-4555

    Type: Location

  • 1681 Cranston St Ste D

    Cranston, RI 029205000

    Phone: (401) 946-8446

    Fax: (401) 946-8340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,430.

Total Amount is formed as General ($1,430) + Research ($0) + Ownership ($0) = $1,430.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Medtronic, Inc. ($768).

Total Amount

$1,430

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-01-21

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
I20110121000484INurse PractitionerRITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3829$0
99214Established patient office or other outpatient visit, 30-39 minutes2723$0
View full utilization report →

Insurance plans in this area (ZIP 02920)

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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: 3072913714View full group profile
NameSpecialtyState
Nurse PractitionerRI
Physician AssistantRI
Internal MedicineRI
Physician AssistantRI
Internal MedicineRI
Family Practice, Pulmonary DiseaseRI
Nurse PractitionerRI
Physician AssistantNY
Physician AssistantRI
Family Practice, Internal MedicineRI

Reviews

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Frequently asked questions

Does JO-ANN M MOORE (RN, MSN, ANP-C) have a public NPI I can cite?
Public records show JO-ANN M MOORE (RN, MSN, ANP-C) under NPI 1104134113.
Is JO-ANN M MOORE (RN, MSN, ANP-C)'s NPI status active today?
Active status means JO-ANN M MOORE (RN, MSN, ANP-C)'s NPI record is not deactivated in the public file.
What services align with JO-ANN M MOORE (RN, MSN, ANP-C)'s listing?
JO-ANN M MOORE (RN, MSN, ANP-C)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JO-ANN M MOORE (RN, MSN, ANP-C) tied to Cranston, Rhode Island?
If you are local to Cranston, Rhode Island, JO-ANN M MOORE (RN, MSN, ANP-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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