MRS. MISTY MOORE IVY C.R.N.P.
NPI 1063465482
Nurse Practitioner - Family in Olive Branch, MS
About Mrs. Misty Moore Ivy C.r.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MISTY MOORE IVY C.R.N.P. (NPI 1063465482) is an individual family provider in Olive Branch, Mississippi, licensed in Mississippi (R860233) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Misty Moore Ivy C.r.n.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Misty Moore Ivy's NPI number?
The NPI number for Misty Moore Ivy is 1063465482. It was assigned to this individual provider in the NPPES registry on May 18, 2006. The provider is also known as Misty Ann Moore.
Where is Misty Moore Ivy located?
Misty Moore Ivy practices at 7203 Goodman Rd, Olive Branch, MS 38654. The listed phone number is (901) 759-2322.
What is Misty Moore Ivy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Misty Moore Ivy enrolled in Medicare?
Yes. Misty Moore Ivy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Misty Moore Ivy accept?
Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Misty Moore Ivy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Misty Moore Ivy was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Misty Moore Ivy, C.R.N.P. · NPI 1063465482
Family physician in Olive Branch, Mississippi. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1063465482 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R860233 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 7203 GOODMAN RD, Olive Branch, MS 38654-1906
- **Phone:** (901) 759-2322
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 20, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1063465482) · Data from the CMS NPPES public registry.