LYNNETTE MOORE (M.D.) – Family Medicine Physician, NPI 1669535951
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for LYNNETTE MOORE (M.D.)
PO BOX 65421
VIRGINIA BEACH, VA 234675421
Phone:
Type: Mailing
4421, Virginia Beach Boulevard, Pembroke Manor, Thalia, Virginia Beach, Virginia, 23462, United States
SUITE 114
VA BEACH, VA 234623114
Phone: (757) 738-1300
Type: Location
620 John Paul Jones Cir
Portsmouth, VA 237082111
Phone: (757) 953-5000
Type: Location
7525 TIDEWATER DR STE 19
NORFOLK, VA 235053700
Phone: (757) 330-0150
Fax: (877) 487-3044
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-11-20
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 |
|---|---|---|---|---|
| I20131120001043 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Internal Medicine | VA | |
| Family Practice | NJ | |
| Family Practice | VA |
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