STACY LYNN MOORE CRNP
NPI 1265071450
Nurse Practitioner - Family in Florence, AL
About Stacy Lynn Moore Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY LYNN MOORE CRNP (NPI 1265071450) is an individual family provider in Florence, Alabama, licensed in Alabama (1-092232) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Stacy Lynn Moore Crnp 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 Reassignment
Medicare enrollment records show Stacy Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Florence, AL 35630
- Reassigned Medicare billing, Alabama enrollment
- Medicare enrollment name: Florence Ob/Gyn Group, PC
- 7 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
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 35630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FLORENCE, AL 35630
FLORENCE, AL 35630
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 Stacy Moore's NPI number?
The NPI number for Stacy Moore is 1265071450. It was assigned to this individual provider in the NPPES registry on January 6, 2020.
Where is Stacy Moore located?
Stacy Moore practices at 156 Titan Dr, Florence, AL 35630. The listed phone number is (256) 740-0690.
What is Stacy Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Moore enrolled in Medicare?
Yes. Stacy 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.
Which organization bills Medicare for Stacy Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Moore reassigns Medicare benefits to Full Life Wellness, PC (Florence, AL). The 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 Stacy Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacy Moore was last updated on October 26, 2021. 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.
# Stacy Lynn Moore, CRNP · NPI 1265071450
Family physician in Florence, Alabama. Individual provider, active in the CMS NPPES registry since January 6, 2020.
## Identity
- **NPI:** 1265071450 (Entity type: Individual)
- **Enumerated:** January 6, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-092232 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 156 TITAN DR, Florence, AL 35630-1197
- **Phone:** (256) 740-0690 · **Fax:** (256) 740-0694
## 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:** Full Life Wellness, PC (NPI 1750495156, Florence, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265071450) · Data from the CMS NPPES public registry.