AMBER JEWEL MOODY (APRN) – Family Nurse Practitioner, NPI 1184284804

AMBER JEWEL MOODY (APRN) is a healthcare provider. based in Ward, Arkansas. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 121559 (AR). The NPI Number for AMBER JEWEL MOODY (APRN) is 1184284804

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMBER JEWEL MOODY (APRN)
NPI
1184284804
Phone
Not provided
Address
23 WILLARD ST
Enumeration Date
14 June 2019
Last Update Date
1 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5016645860
Graduation Year
2019 (7 years ago)
PAC ID
8224460266
Group Practice PAC ID
6002838653
Professional Enrollment ID
I20191113002586
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for AMBER JEWEL MOODY (APRN)

  • 23, Willard Street, Ward, Lonoke County, Arkansas, 72176, United States

    WARD, AR 721769307

    Phone:

    Type: Mailing

  • Unity Health, 3214, East Race Avenue, Searcy, White County, Arkansas, 72143, United States

    SEARCY, AR 721439307

    Phone: (501) 259-0420

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,011.

Total Amount is formed as General ($1,011) + Research ($0) + Ownership ($0) = $1,011.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($607).

Total Amount

$1,011

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,011

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-11-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191113002586INurse PractitionerARTBD

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.

Verify on CMS Revalidation Lookup Tool

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 72176)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002838653View full group profile
NameSpecialtyState
Nurse PractitionerAR
Physician AssistantAR
Internal MedicineAR
General SurgeryLA
General SurgeryLA
-AR
General Surgery, Cardiac Surgery, Vascular SurgeryAR
-AZ
-AR
-AR

Reviews

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Frequently asked questions

What is the standard ID for AMBER JEWEL MOODY (APRN) in the U.S.?
In the U.S., AMBER JEWEL MOODY (APRN) is identified by NPI 1184284804.
Quick check: is AMBER JEWEL MOODY (APRN) active?
Public NPPES data shows AMBER JEWEL MOODY (APRN) with an active NPI status right now.
What does the directory say AMBER JEWEL MOODY (APRN) does?
Insurance directories may phrase it differently, but here AMBER JEWEL MOODY (APRN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is AMBER JEWEL MOODY (APRN) tied to Ward, Arkansas?
If you are local to Ward, Arkansas, AMBER JEWEL MOODY (APRN) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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