LAUREN REBECCA MOORE – Family Nurse Practitioner, NPI 1235794777

LAUREN REBECCA MOORE is a healthcare provider. based in Willis, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP141525 (TX). The NPI Number for LAUREN REBECCA MOORE is 1235794777

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN REBECCA MOORE
NPI
1235794777
Phone
(832) 381-4505
Address
13006 CENTAURUS CT
Enumeration Date
9 May 2019
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2817838162
Graduation Year
2021 (5 years ago)
PAC ID
1456891076
Group Practice PAC ID
3072752302
Professional Enrollment ID
I20240910003842
Address ID
TX773883004SP5211XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for LAUREN REBECCA MOORE

  • 13006 CENTAURUS CT

    WILLIS, TX 773185025

    Phone: (832) 381-4505

    Type: Mailing

  • 14900 CONSTELLATION CIR W

    WILLIS, TX 773185032

    Phone: (832) 381-4505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($171).

Total Amount

$171

General + Research + Ownership

Payments

5

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MERZ NORTH AMERICA, INC.$171
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: 2024-09-10

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
I20240910003842INurse PractitionerTXTBD

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 77318)

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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: 3072752302View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
-TX
Family Practice, Emergency MedicineTX
Family PracticeCA
Nurse PractitionerTX
Physician AssistantNY

Reviews

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Frequently asked questions

What is the standard ID for LAUREN REBECCA MOORE in the U.S.?
In the U.S., LAUREN REBECCA MOORE is identified by NPI 1235794777.
Quick check: is LAUREN REBECCA MOORE active?
Public NPPES data shows LAUREN REBECCA MOORE with an active NPI status right now.
What services align with LAUREN REBECCA MOORE's listing?
LAUREN REBECCA MOORE's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LAUREN REBECCA MOORE?
LAUREN REBECCA MOORE shows a connection to Willis, Texas in registry-derived data.
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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