PAULA RENEE MORENO (P.A.) – Physician Assistant, NPI 1881642197
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for PAULA RENEE MORENO (P.A.)
8420 Aspi Blvd Ste 1
Moses Lake, WA 988373601
Phone: (509) 793-8782
Fax: (509) 764-3281
Type: Location
222 S Herlong Ave
Rock Hill, SC 297321158
Phone: (803) 329-6849
Type: Location
660, South Coolidge Street, Moses Lake, Grant County, Washington, 98837, United States
MOSES LAKE, WA 988371872
Phone: (509) 793-9715
Fax: (509) 764-3244
Type: Mailing
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Phone: (509) 793-9790
Fax: (509) 764-3255
Type: Location
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: 2019-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20130621000270 | I | Physician Assistant | TX | TBD |
| I20150821013158 | I | Physician Assistant | AZ | TBD |
| I20170821001288 | I | Physician Assistant | WA | TBD |
| I20190716002197 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 16 | 15 | $0 |
Insurance plans in this area (ZIP 98837)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | OH | |
| - | MT | |
| - | ID | |
| Internal Medicine | WA | |
| Nurse Practitioner | WA | |
| - | MA | |
| Diagnostic Radiology | MN |
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