MYRA COLLEEN MOORE (DNP, APRN, FNP-C) – Nurse Practitioner, NPI 1831547421

MYRA COLLEEN MOORE (DNP, APRN, FNP-C) is a healthcare provider. based in Batesville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, FNP-C. They hold a License No. A004775 (AR). The NPI Number for MYRA COLLEEN MOORE (DNP, APRN, FNP-C) is 1831547421

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MYRA COLLEEN MOORE (DNP, APRN, FNP-C)
NPI
1831547421
Phone
(870) 262-1338
Address
1710 HARRISON ST
Enumeration Date
25 May 2016
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
2762368181
Graduation Year
2016 (10 years ago)
PAC ID
5799069100
Group Practice PAC ID
3072412592
Professional Enrollment ID
I20250703000282
Address ID
VA243332227GA200XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for MYRA COLLEEN MOORE (DNP, APRN, FNP-C)

  • White River Medical Center, 1710, Harrison Street, College Heights Addition, Batesville, Independence County, Arkansas, 72501, United States

    BATESVILLE, AR 725017303

    Phone: (870) 262-1338

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-04-07 • Largest payer in this snapshot: ABBVIE INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$17
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: 2025-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20170303000391INurse PractitionerARTBD
I20250610003713INurse PractitionerIATBD
I20250625004117INurse PractitionerAZTBD
I20250703000282INurse PractitionerVATBD
I20250905000540INurse PractitionerTXTBD
I20250927000410INurse PractitionerWVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making204190$0
99285Emergency department visit with high level of medical decision making167154$0
99283Emergency department visit with low level of medical decision making137133$0
99282Emergency department visit with straightforward medical decision making2221$0
View full utilization report →

Insurance plans in this area (ZIP 72501)

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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: 3072412592View full group profile
NameSpecialtyState
-NC
Internal MedicineNC
Emergency MedicineTN
-VA
Emergency MedicineVA
Nurse PractitionerGA
Emergency MedicineNC
-TN
Emergency MedicineNC
Emergency MedicineCA

Reviews

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Frequently asked questions

How do payers reference MYRA COLLEEN MOORE (DNP, APRN, FNP-C)?
For MYRA COLLEEN MOORE (DNP, APRN, FNP-C), use NPI 1831547421 as the unique 10-digit identifier.
Is there an active status for MYRA COLLEEN MOORE (DNP, APRN, FNP-C)?
For scheduling context, MYRA COLLEEN MOORE (DNP, APRN, FNP-C) is shown as active in the registry.
What clinical focus is listed for MYRA COLLEEN MOORE (DNP, APRN, FNP-C)?
At a glance, MYRA COLLEEN MOORE (DNP, APRN, FNP-C) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MYRA COLLEEN MOORE (DNP, APRN, FNP-C) located near Batesville?
MYRA COLLEEN MOORE (DNP, APRN, FNP-C) currently maps to Batesville, Arkansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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