MOLLY ANNE MOORE-PULLIN (A.N.P.) – Adult Health Nurse Practitioner, NPI 1154310902
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MOLLY ANNE MOORE-PULLIN (A.N.P.)
620, South Jefferson Avenue, Wilhite, Cookeville, Putnam County, Tennessee, 38501, United States
STE 202
COOKEVILLE, TN 385014035
Phone: (931) 526-7446
Fax: (931) 526-7369
Type: Location
PO BOX 10880
PRESCOTT, AZ 863040880
Phone: (928) 759-5874
Fax: (928) 458-2039
Type: Mailing
802 AINSWORTH DR STE A
PRESCOTT, AZ 863011623
Phone: (928) 445-6025
Fax: (928) 777-2423
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $499.
Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($96).
Total Amount
$499
General + Research + Ownership
Payments
28
Total payment records
General Amount
$499
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-11-15
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 |
|---|---|---|---|---|
| I20171115000998 | I | Nurse Practitioner | TN | 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 38501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | MI | |
| Family Practice | AZ | |
| Nurse Practitioner | SC | |
| Cardiovascular Disease (Cardiology) | AZ | |
| - | AZ | |
| P S Y C H I A T R Y | AZ | |
| Nurse Practitioner | AZ |
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