SHANNA MARIE MOORE (MSN, RN, FNP-C) – Family Nurse Practitioner, NPI 1144625542
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for SHANNA MARIE MOORE (MSN, RN, FNP-C)
17908 N SADDLE HILL RD
COLBERT, WA 990059347
Phone: (509) 890-3901
Type: Mailing
318 E ROWAN AVE STE 201
SPOKANE, WA 992071200
Phone: (509) 275-8600
Fax: (509) 275-2333
Type: Location
20 E PINERIDGE CT APT 4
SPOKANE, WA 992087026
Phone: (432) 212-7734
Type: Mailing
15 SW EVERETT MALL WAY STE A
EVERETT, WA 982042715
Phone: (888) 562-5442
Fax: (562) 499-6171
Type: Location
509 Olive Way Ste 1259
Seattle, WA 981011745
Phone: (888) 803-3370
Type: Location
180 Sutter St
San Francisco, CA 941044007
Phone: (415) 687-4350
Type: Location
17930 INTERNATIONAL BLVD STE 1000
SEATAC, WA 981884244
Phone: (888) 445-8745
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($49).
Total Amount
$161
General + Research + Ownership
Payments
6
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $49 |
| Genmab U.S., Inc. | $33 |
| Celgene Corporation | $32 |
| PFIZER INC. | $26 |
| Regeneron Healthcare Solutions, Inc. | $22 |
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: 2018-10-25
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 |
|---|---|---|---|---|
| I20181025001566 | I | Nurse Practitioner | ID | TBD |
| I20181025001817 | I | Nurse Practitioner | WA | 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 99005)
Loading plans...
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.