STACY CATHRYN MOORE (FNP) – Family Nurse Practitioner, NPI 1407136773
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for STACY CATHRYN MOORE (FNP)
118 BROAD ST
DUBLIN, VA 240843211
Phone: (540) 674-8805
Fax: (540) 674-8670
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $330.
Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Abbott Laboratories ($153).
Total Amount
$330
General + Research + Ownership
Payments
9
Total payment records
General Amount
$330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $153 |
| GENZYME CORPORATION | $120 |
| Dexcom, Inc. | $39 |
| Novo Nordisk Inc | $18 |
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: 2011-11-08
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 |
|---|---|---|---|---|
| I20111108000629 | I | Nurse Practitioner | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 84 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 103 | 73 | $0 |
| G0008 | Administration of influenza virus vaccine | 43 | 42 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 43 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 40 | $0 |
Insurance plans in this area (ZIP 24084)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| - | CA | |
| - | VA | |
| - | VA | |
| Diagnostic Radiology | OR | |
| Physician Assistant | AZ | |
| - | VA | |
| Physician Assistant | VA | |
| - | VA | |
| - | VA |
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