MRS. CHRYSTAL G MOORE (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417434747
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CHRYSTAL G MOORE (ARNP)
1563 Hemlock Dr
Oak Harbor, WA 982773404
Phone: (757) 323-9104
Type: Location
Hemlock Drive, Bay Harbor Estates, Brick Township, Ocean County, New Jersey, 08723, United States
OAK HARBOR, WA 982773404
Phone: (757) 323-9104
Type: Mailing
33480, 13th Place South, Kitts Corner, Federal Way, King County, Washington, 98003, United States
FEDERAL WAY, WA 980036357
Phone: (757) 323-9104
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: 2019-05-21
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 |
|---|---|---|---|---|
| I20190521000430 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 474 | 31 | $0 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 14 | 14 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 13 | 12 | $0 |
Insurance plans in this area (ZIP 98277)
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