KARLEY BROOKE MOORE
NPI 1114520491
Nurse Practitioner - Family in Manila, AR

Q: What is Karley Moore's NPI number?

The NPI number for Karley Moore is 1114520491. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Q: What is Karley Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karley Moore was last updated on January 16, 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.

Active since November 18, 2020PECOS EnrolledAccepts Medicare Assignment

3644 W STATE HIGHWAY 18, MANILA, AR 72442(708) 561-3300(870) 561-3307 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Nov 18, 2020 (2 updates tracked since 2020).

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About Karley Brooke Moore NPPES

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

KARLEY BROOKE MOORE (NPI 1114520491) is an individual family provider in Manila, Arkansas, licensed in Arkansas (212805) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114520491

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKARLEY BROOKE MOORE

Location Address3644 W STATE HIGHWAY 18Manila, AR 72442-8049

Mailing Address624 Lanes WayManila, AR 72442-9136 · (870) 740-9800

Phone(708) 561-3300

Fax(870) 561-3307

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 18, 2020

Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1114520491 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 · 212805

3644 W STATE HIGHWAY 18, Manila, AR 72442

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Karley Brooke Moore 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 ID6103228291

PECOS Enrollment IDI20210712004087

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 4

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

52 services38 patients

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.

32 services30 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

25 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72442 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

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$8.04 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 7

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

A & H ENTERPRISES, INC.

Pharmacy (Long Term Care Pharmacy)