Regina Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Plumerville, Arkansas. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Access Medical Clinic Arkansas Ltc Llc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 |
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| Experience | 10 Years |
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| Location | 102 Arnold St, Plumerville, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Regina Moore graduated from nursing school in 2016
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 140 |
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 | Timothy Cook |
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| Entity Type | Practitioner - Pulmonary Disease |
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| Entity Identifiers | NPI Number: 1659342038 PECOS PAC ID: 3971585464 Enrollment ID: I20040607001491 |
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| 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: () - | Regina Moore, CNP 102 Arnold St, Plumerville, AR 72127-8822 Ph: (501) 977-6423 |
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