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STACY LYNN MOORE CRNP
NPI 1265071450
Nurse Practitioner - Family in Florence, AL

Active since January 06, 2020PECOS EnrolledAccepts Medicare Assignment
156 TITAN DR, FLORENCE, AL 35630(256) 740-0690(256) 740-0694 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2020, Jan 6, 2020 (2 updates tracked since 2020).

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

NPI1265071450
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY LYNN MOORECredential: CRNP
Location Address156 TITAN DRFlorence, AL 35630-1197
Mailing Address156 Titan DrFlorence, AL 35630-1197 · (256) 740-0690 · Fax (256) 740-0694
Phone(256) 740-0690
Fax(256) 740-0694
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 6, 2020
Last NPPES UpdateOctober 26, 20212 updates tracked since enumeration
NPPES CertifiedOctober 26, 2021
✔ NPI 1265071450 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 AL · 1-092232
156 TITAN DR, Florence, AL 35630
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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

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.

PECOS PAC ID4880083336
PECOS Enrollment IDI20211123000314
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services19 patients

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.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

MRS. DANIELLE C ELLIOTT M.S.N., C.R.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
156 TITAN DR
FLORENCE, AL 35630
Lauderdale County (256) 740-0690
MRS. SHEILA M MCNUTT M.S.N., C.R.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
156 TITAN DR
FLORENCE, AL 35630
Lauderdale County (256) 740-0690
ASHLEY B FREDERICK NP-C
Nurse Practitioner (Family)
156 TITAN DR
FLORENCE, AL 35630
Lauderdale County (256) 740-0690
LEEANN BOYLES STANFORD FNP-C
Nurse Practitioner (Family)
156 TITAN DR
FLORENCE, AL 35630
Lauderdale County (256) 740-0690
FULL LIFE WELLNESS, PC
Clinic/Center (Multi-Specialty)
156 TITAN DR
FLORENCE, AL 35630
Lauderdale County (256) 740-0690
ELIZABETH C WOODFORD CRNP, FNP-BC
Nurse Practitioner (Family)
156 TITAN DR
FLORENCE, AL 35630
Lauderdale County (256) 740-0690

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.

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 4 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.