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MRS. MARY KATHRYN MOORE
NPI 1508547787
Physician Assistant in Little Rock, AR

Active since July 31, 2023PECOS Enrolled
1 CHILDRENS WAY # 512-1, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-4082 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Nov 6, 2024, Oct 2, 2024 (3 updates tracked since 2024).

About Mrs. Mary Kathryn Moore NPPES

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

MRS. MARY KATHRYN MOORE (NPI 1508547787) is an individual physician assistant in Little Rock, Arkansas, licensed in Arkansas (PA-1319) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508547787
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARY KATHRYN MOORE
Location Address1 CHILDRENS WAY # 512-1Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-1100
Fax(501) 364-4082
Sole ProprietorNo
Enumeration DateJuly 31, 2023
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1508547787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AR · PA-1319
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 CHILDRENS WAY # 512-1, Little Rock, AR 72202
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Other Names 1

Former Name (1)Mary K Collins

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

Mrs. Mary Kathryn Moore 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 72202 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
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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.

KRISTYN N JEFFRIES MD
Pediatrics
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
INDIRAPRIYA DARSHINI AVULAKUNTA MD
Pediatrics (Neonatal-Perinatal Medicine)
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
VICTORIA BRIGNAC CORLEY MD
Pediatrics
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
DR. BRIAN M VARISCO MD
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
DR. RYAN WESLEY STEELE MD
Pediatrics
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
BENJAMIN R ITTLEMAN M.D.
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3418
DR. CONOR HARRISON SMITH MD
Pediatrics
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3081
DR. SAFIA FAHIM NAWAZ MD
Allergy & Immunology
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 361-3677

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1508547787. It was assigned to this individual provider in the NPPES registry on July 31, 2023. The provider is also known as Mary K Collins.

Where is Mary Moore located?

Mary Moore practices at 1 Childrens Way # 512-1, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Moore enrolled in Medicare?

Yes. Mary Moore is registered in the Medicare PECOS enrollment system.

What insurance does Mary Moore accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Mary Moore 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 Mary Moore was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.