STACEY MOON APRN, MNSC, AGACNPBC
NPI 1184225096
Nurse Practitioner - Acute Care in North Little Rock, AR

Q: What is Stacey Moon's NPI number?

The NPI number for Stacey Moon is 1184225096. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Q: What is Stacey Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Moon was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 06, 2020PECOS Enrolled

3500 SPRINGHILL DR STE 200A, NORTH LITTLE ROCK, AR 72117(501) 413-9290 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stacey Moon Aprn, Mnsc, Agacnpbc NPPES

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

STACEY MOON APRN, MNSC, AGACNPBC (NPI 1184225096) is an individual acute care provider in North Little Rock, Arkansas, licensed in Arkansas (124009) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184225096

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSTACEY MOONCredential: APRN, MNSC, AGACNPBC

Location Address3500 SPRINGHILL DR STE 200ANorth Little Rock, AR 72117-2948

Mailing Address3500 Springhill Dr Ste 200aNorth Little Rock, AR 72117-2948 · (501) 413-9290

Phone(501) 413-9290

Sole ProprietorNo

Enumeration DateNovember 6, 2020

NPPES CertifiedNovember 3, 2020

✔ NPI 1184225096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AR · 124009

3500 SPRINGHILL DR STE 200A, North Little Rock, AR 72117

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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 (PECOS)

Stacey Moon Aprn, Mnsc, Agacnpbc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72117 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.

Other Providers at the Same Location NPPES 6

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

SAMUEL DAVID REGISTER III MD

Preventive Medicine (Undersea and Hyperbaric Medicine)