Regina Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Plumerville, Arkansas. Her current practice location is
102 Arnold St, Plumerville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 977-6423.
Regina Moore is licensed to practice in Arkansas (license number A005057) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881120715.
Provider's Profile
| Full Name | Regina Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 102 Arnold St, Plumerville, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881120715
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 06/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365712569
- Enrollment ID: I20170720002316
Medical Identifiers
Medical identifiers for Regina Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881120715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | A005057 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Regina Moore allows following entities to bill medicare on her behalf.
| Entity Name | Conway Behavioral Health, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245728484 PECOS PAC ID: 3779857891 Enrollment ID: O20181010003468 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Regina Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Regina Moore, CNP 102 Arnold St, Plumerville, AR 72127-8822 Ph: Not Available | Regina Moore, CNP 102 Arnold St, Plumerville, AR 72127-8822 Ph: (501) 977-6423 |
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