STEPHANIE ANN MOSER NURSE PRACTITIONER
NPI 1265058804
Nurse Practitioner - Family in Southside, AR
About Stephanie Ann Moser Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE ANN MOSER NURSE PRACTITIONER (NPI 1265058804) is an individual family provider in Southside, Arkansas, licensed in Arkansas (125283) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie Ann Moser Nurse Practitioner 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stephanie Moser reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenbriar, AR 72058
- Reassigned Medicare billing, Arkansas enrollment
- 55 clinicians in this Medicare group
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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 72501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Stephanie Moser's NPI number?
The NPI number for Stephanie Moser is 1265058804. It was assigned to this individual provider in the NPPES registry on June 19, 2020.
Where is Stephanie Moser located?
Stephanie Moser practices at 36 Red Bud Dr, Southside, AR 72501. The listed phone number is (879) 262-9302.
What is Stephanie Moser's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Moser enrolled in Medicare?
Yes. Stephanie Moser 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.
Which organizations bill Medicare for Stephanie Moser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Moser reassigns Medicare benefits to 2 organizations: Fast Pace Mississippi, PLLC (Greenbriar, AR) and Venvisor Health Of Ar PA (Bentonville, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Moser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Moser accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Stephanie Moser 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 Stephanie Moser was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Stephanie Ann Moser, NURSE PRACTITIONER · NPI 1265058804
Family physician in Southside, Arkansas. Individual provider, active in the CMS NPPES registry since June 19, 2020.
## Identity
- **NPI:** 1265058804 (Entity type: Individual)
- **Enumerated:** June 19, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 125283 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 36 RED BUD DR, Southside, AR 72501-8049
- **Phone:** (879) 262-9302
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fast Pace Mississippi, PLLC (NPI 1982361259, Greenbriar, AR); Venvisor Health Of Ar PA (NPI 1992553028, Bentonville, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265058804) · Data from the CMS NPPES public registry.