JAMES JEREMIAH MOOTY FNP
NPI 1467952606
Nurse Practitioner - Family in Sikeston, MO

Q: What is James Mooty's NPI number?

The NPI number for James Mooty is 1467952606. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Q: What is James Mooty'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 James Mooty was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 14, 2018PECOS EnrolledAccepts Medicare Assignment

1008 N MAIN ST, SIKESTON, MO 63801(573) 472-6001(573) 472-6006 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About James Jeremiah Mooty Fnp NPPES

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

JAMES JEREMIAH MOOTY FNP (NPI 1467952606) is an individual family provider in Sikeston, Missouri, licensed in Missouri (2018003400) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Missouri Delta Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467952606

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJAMES JEREMIAH MOOTYCredential: FNP

Location Address1008 N MAIN STSikeston, MO 63801-5044

Mailing Address1008 N Main StSikeston, MO 63801-5044 · (573) 472-7406

Phone(573) 472-6001

Fax(573) 472-6006

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 14, 2018

✔ NPI 1467952606 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 MO · 2018003400

1008 N MAIN ST, Sikeston, MO 63801

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.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

James Jeremiah Mooty Fnp 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 ID9931460862

PECOS Enrollment IDI20180309001145

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260113

Location1008 North Main StSikeston, MO 63801 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63801 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 20

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

ERICA LEIGH WILSON APRN, FNP-BC

Nurse Practitioner (Family)