MRS. HEATHER BRECKENRIDGE MOORE APRN
NPI 1912406406
Nurse Practitioner - Acute Care in Little Rock, AR

Q: What is Heather Moore's NPI number?

The NPI number for Heather Moore is 1912406406. It was assigned to this individual provider in the NPPES registry on February 9, 2018.

Q: What is Heather Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Heather Moore was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 09, 2018PECOS Enrolled

2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205(501) 552-3402 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2024, Jul 25, 2018 (2 updates tracked since 2018).

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About Mrs. Heather Breckenridge Moore Aprn NPPES

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

MRS. HEATHER BRECKENRIDGE MOORE APRN (NPI 1912406406) is an individual acute care provider in Little Rock, Arkansas, licensed in Arkansas (A005506) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1912406406

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. HEATHER BRECKENRIDGE MOORECredential: APRN

Location Address2 SAINT VINCENT CIRLittle Rock, AR 72205

Mailing Address2 Saint Vincent CirLittle Rock, AR 72205-5423 · (501) 552-3400

Phone(501) 552-3402

Sole ProprietorNo

Enumeration DateFebruary 9, 2018

Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1912406406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AR · A005506

Also ListedNurse PractitionerTaxonomy 363L00000X · License A005506 (AR)

2 SAINT VINCENT CIR, Little Rock, AR 72205

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Other Names 1

Former Name (1)Heather Annette Breckenridge

Secondary Practice Location 1

Location 14200 Regent St Ste 200Columbus, OH 43219-6229 · Phone (877) 870-1775 · Fax (614) 968-8840

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. Heather Breckenridge Moore Aprn 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 72205 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

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.