KATY ANN MOSS
NPI 1972105054
Nurse Practitioner - Family in De Queen, AR

Q: What is Katy Moss's NPI number?

The NPI number for Katy Moss is 1972105054. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Q: What is Katy Moss'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 Katy Moss was last updated on February 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 12, 2020PECOS Enrolled

500 E COLLIN RAYE DR, DE QUEEN, AR 71832(870) 584-1053(870) 584-2087 Get Directions Write a Review

NPPES record last updated: February 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2021, Nov 12, 2020 (2 updates tracked since 2020).

On this page

About Katy Ann Moss NPPES

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

KATY ANN MOSS (NPI 1972105054) is an individual family provider in De Queen, Arkansas, licensed in Arkansas (122438) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Texarkana.

NPPES Registry Identity

NPI1972105054

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATY ANN MOSS

Location Address500 E COLLIN RAYE DRDe Queen, AR 71832-8048

Mailing Address500 E Collin Raye DrDe Queen, AR 71832-8048 · (870) 584-1053 · Fax (870) 584-2087

Phone(870) 584-1053

Fax(870) 584-2087

Sole ProprietorNo

Enumeration DateNovember 12, 2020

Last NPPES UpdateFebruary 27, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2021

✔ NPI 1972105054 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 AR · 122438

500 E COLLIN RAYE DR, De Queen, AR 71832

Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Pine StTexarkana, TX 75501-5100 · Phone (903) 798-8800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katy Ann Moss 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 71832 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers15 claims66 services$7.20 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

2 suppliers15 claims33 services$1.23 avg. paid by Medicare

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910

DME-Other DME · category DE000N

2 suppliers32 claims32 services$9.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 9

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

LINDSEY RENEE GILLIHAN APRN, FNP-C

Nurse Practitioner (Family)