ANGELITA MOORE – Family Nurse Practitioner, NPI 1811453087

ANGELITA MOORE is a healthcare provider. based in Frisco, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP139479 (TX). The NPI Number for ANGELITA MOORE is 1811453087

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANGELITA MOORE
NPI
1811453087
Phone
(469) 405-0500
Address
255 W Lebanon Ste 116
Enumeration Date
13 February 2019
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177021100
Graduation Year
2018 (8 years ago)
PAC ID
7214366467
Group Practice PAC ID
4587963582
Professional Enrollment ID
I20200409000740
Address ID
TX761026735FO1513XSTXX400
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

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ANGELITA MOORE

  • 255 W Lebanon Ste 116

    Frisco, TX 750363412

    Phone: (469) 405-0500

    Fax: (469) 405-0501

    Type: Location

  • 1251 E Red Bird Ln Ste A

    Dallas, TX 752412008

    Phone: (214) 344-0608

    Fax: (214) 243-2142

    Type: Location

  • 650, Maryville University Drive, Town and Country, Saint Louis County, Missouri, 63141, United States

    SAINT LOUIS, MO 631415849

    Phone:

    Type: Mailing

  • 1014 E Wheatland Rd Ste A

    Duncanville, TX 751164914

    Phone: (214) 550-2330

    Fax: (214) 550-2331

    Type: Location

  • 7505 Glenview Dr Ste 151

    Richland Hills, TX 761808335

    Phone: (817) 284-9922

    Fax: (817) 284-9926

    Type: Location

  • 650 Maryville University Dr

    Saint Louis, MO 631415849

    Phone: (314) 529-9300

    Type: Location

  • 200 W MAGNOLIA AVE STE 201

    FORT WORTH, TX 761047657

    Phone: (817) 702-2977

    Type: Mailing

  • 1513 E PRESIDIO ST STE B

    FORT WORTH, TX 761026735

    Phone: (817) 702-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $240.

Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: ABBVIE INC. ($72).

Total Amount

$240

General + Research + Ownership

Payments

13

Total payment records

General Amount

$240

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

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: 2020-04-09

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
I20200409000740INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9369$0
99213Established patient office or other outpatient visit, 20-29 minutes6448$0
View full utilization report →

Insurance plans in this area (ZIP 75036)

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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: 4587963582View full group profile

Reviews

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Frequently asked questions

Does ANGELITA MOORE have a public NPI I can cite?
Public records show ANGELITA MOORE under NPI 1811453087.
Quick check: is ANGELITA MOORE active?
Public NPPES data shows ANGELITA MOORE with an active NPI status right now.
What type of care does ANGELITA MOORE provide?
ANGELITA MOORE's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ANGELITA MOORE?
ANGELITA MOORE shows a connection to Frisco, Texas in registry-derived data.
Who maintains ANGELITA MOORE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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