BLAKELY M MOORE APRN
NPI 1083148522
Nurse Practitioner - Family in Little Rock, AR

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
449 JACK STEPHENS DR, LITTLE ROCK, AR 72205(501) 686-8224(501) 686-5548 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2025, Apr 11, 2017 (2 updates tracked since 2017).

About Blakely M Moore Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKELY M MOORE APRN (NPI 1083148522) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (A005123) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083148522
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLAKELY M MOORECredential: APRN
Location Address449 JACK STEPHENS DRLittle Rock, AR 72205
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Fax(501) 686-5548
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2017
Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
NPI 1083148522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A005123
449 JACK STEPHENS DR, Little Rock, AR 72205

Other Names 1

Former Name (1)Blakely M Edmund

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

Blakely M Moore Aprn 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.

PECOS PAC ID8426325291
PECOS Enrollment IDI20170526000455
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services120 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
7 suppliers30 claims84 services$29.21 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
5 suppliers11 claims13 services$274.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
449 JACK STEPHENS DR
LITTLE ROCK, AR 72205
Surgery
449 JACK STEPHENS DR
LITTLE ROCK, AR 72205
Genetic Counselor, MS
449 JACK STEPHENS DR
LITTLE ROCK, AR 72205

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 Blakely Moore's NPI number?

The NPI number for Blakely Moore is 1083148522. It was assigned to this individual provider in the NPPES registry on April 11, 2017. The provider is also known as Blakely M Edmund.

Where is Blakely Moore located?

Blakely Moore practices at 449 Jack Stephens Dr, Little Rock, AR 72205. The listed phone number is (501) 686-8224.

What is Blakely Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blakely Moore enrolled in Medicare?

Yes. Blakely Moore 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 Blakely Moore accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Blakely Moore 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 Blakely Moore was last updated on March 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.