JENNIFER LYNN MOORE (FNP-C) – Family Nurse Practitioner, NPI 1215536370
Family Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER LYNN MOORE (FNP-C)
11511 SHADOW CREEK PKWY
PEARLAND, TX 775847298
Phone: (713) 442-0000
Type: Mailing
140A MARTIN DR
SHEPHERD, TX 773713597
Phone: (281) 593-5999
Type: Mailing
400 Ogletree Dr
Livingston, TX 773516783
Phone: (936) 328-8812
Fax: (936) 328-8815
Type: Location
25553 Highway 59
Porter, TX 773656154
Phone: (713) 442-2100
Type: Location
203 N COLLEGE AVE STE 1001
CLEVELAND, TX 773272500
Phone: (281) 593-5999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $399.
Total Amount is formed as General ($399) + Research ($0) + Ownership ($0) = $399.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: CSL Behring ($86).
Total Amount
$399
General + Research + Ownership
Payments
22
Total payment records
General Amount
$399
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $86 |
| Cranial Technologies, Inc | $68 |
| Corium, LLC | $49 |
| Lilly USA, LLC | $47 |
| Stryker Corporation | $26 |
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: 2022-12-20
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 |
|---|---|---|---|---|
| I20221220001460 | I | Nurse Practitioner | TX | 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 77584)
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