L KATHERINE MOON (ARNP, FNP,MSN) – Family Nurse Practitioner, NPI 1518992494
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for L KATHERINE MOON (ARNP, FNP,MSN)
6715 NE 63RD ST STE 436
VANCOUVER, WA 986611980
Phone: (360) 816-0277
Fax: (360) 567-4004
Type: Mailing
406 SE 131ST AVE STE C
VANCOUVER, WA 986834004
Phone: (360) 816-0277
Fax: (360) 567-4004
Type: Location
3240, Northeast 3rd Avenue, Parker Landing Light, Camas, Clark County, Washington, 98607, United States
CAMAS, WA 98607
Phone: (360) 838-2440
Fax: (360) 838-2450
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 174 Open Payments records for all available years, with a total value of $2,561.
Total Amount is formed as General ($2,561) + Research ($0) + Ownership ($0) = $2,561.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($476).
Total Amount
$2,561
General + Research + Ownership
Payments
174
Total payment records
General Amount
$2,561
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $476 |
| Lilly USA, LLC | $441 |
| Novo Nordisk Inc | $401 |
| ABBVIE INC. | $395 |
| Bayer Healthcare Pharmaceuticals Inc. | $157 |
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: 2010-12-20
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 |
|---|---|---|---|---|
| I20101220000812 | 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 98661)
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