SHAKILA MOORE (APRN, PMHNP-BC) – Psychiatric/Mental Health Registered Nurse, NPI 1891339099
Psychiatric/Mental Health Registered Nurse
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Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for SHAKILA MOORE (APRN, PMHNP-BC)
707 N Pearl St
Ellensburg, WA 989262938
Phone: (509) 925-9861
Type: Location
201 S 2nd Ave
Yakima, WA 989023464
Phone: (509) 469-2085
Type: Location
3537 Ellis Ave SW
Birmingham, AL 352211407
Phone: (205) 249-3242
Type: Location
3537 ELLIS AVE SW
BIRMINGHAM, AL 352211407
Phone: (205) 249-3242
Type: Mailing
29910 STATE ROAD 56
WESLEY CHAPEL, FL 335438800
Phone: (813) 452-4597
Type: Location
509 N Brightleaf Blvd
Smithfield, NC 275774407
Phone: (919) 938-7558
Fax: (919) 934-7554
Type: Location
29910 State Road 56
Wesley Chapel, FL 335438800
Phone: (813) 452-4597
Type: Location
1150 Reservoir Ave Ste 203
Cranston, RI 029206032
Phone: (401) 259-0340
Fax: (401) 213-8538
Type: Location
504 S 3RD AVE
YAKIMA, WA 989023543
Phone: (509) 469-3727
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: 2026-03-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20200515000618 | I | Nurse Practitioner | FL | TBD |
| I20210316000005 | I | Nurse Practitioner | GA | TBD |
| I20250424000000 | I | Nurse Practitioner | NC | TBD |
| I20251022004455 | I | Nurse Practitioner | AL | TBD |
| I20260206002947 | I | Nurse Practitioner | NY | TBD |
| I20260307000323 | I | Nurse Practitioner | RI | 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 98926)
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