SANDRA LEE MOORE AGACNP, APRN
NPI 1710504931
Nurse Practitioner - Acute Care in Springdale, AR
About Sandra Lee Moore Agacnp, Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA LEE MOORE AGACNP, APRN (NPI 1710504931) is an individual acute care provider in Springdale, Arkansas, licensed in Arkansas (124033) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra Lee Moore Agacnp, Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72764 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.
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.
SPRINGDALE, AR 72764
SPRINGDALE, AR 72764
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 Sandra Moore's NPI number?
The NPI number for Sandra Moore is 1710504931. It was assigned to this individual provider in the NPPES registry on July 3, 2020.
Where is Sandra Moore located?
Sandra Moore practices at 609 W Maple Ave, Springdale, AR 72764. The listed phone number is (479) 757-1260.
What is Sandra Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Sandra Moore enrolled in Medicare?
Yes. Sandra Moore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sandra Moore was last updated on October 12, 2020. 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.
# Sandra Lee Moore, AGACNP, APRN · NPI 1710504931
Acute Care physician in Springdale, Arkansas. Individual provider, active in the CMS NPPES registry since July 3, 2020.
## Identity
- **NPI:** 1710504931 (Entity type: Individual)
- **Enumerated:** July 3, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 124033 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 609 W MAPLE AVE, Springdale, AR 72764-5335
- **Phone:** (479) 757-1260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1710504931) · Data from the CMS NPPES public registry.