JILLIAN KELCIE MOODY (NP-C) – Family Nurse Practitioner, NPI 1790322279
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for JILLIAN KELCIE MOODY (NP-C)
1029 ROADRUNNER RD
GLEN ROSE, TX 760436905
Phone: (817) 776-7477
Type: Mailing
805 HILL BLVD UNIT 103
GRANBURY, TX 760481482
Phone: (817) 573-3447
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $912.
Total Amount is formed as General ($912) + Research ($0) + Ownership ($0) = $912.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($138).
Total Amount
$912
General + Research + Ownership
Payments
45
Total payment records
General Amount
$912
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $138 |
| Novartis Pharmaceuticals Corporation | $114 |
| Janssen Biotech, Inc. | $82 |
| AstraZeneca Pharmaceuticals LP | $78 |
| Novo Nordisk Inc | $74 |
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: 2025-05-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230314000812 | I | Nurse Practitioner | TX | TBD |
| I20250508001485 | I | Nurse Practitioner | NY | 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 76043)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| Physician Assistant | WV | |
| Nurse Practitioner | NY | |
| - | NY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.