Stefany Sue Moore, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0109496 Issued in OK

Practice address

901 N Porter Ave
Norman, OK 73071-6404

Phone

(405) 307-1500

NPI assigned

Jan 2, 2020

Last updated

Jun 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aryan P Kadivar MD PCGroup PAC ID 7517962251, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Health Hospital, Lawton, OK, CCN 370056
• Southwestern Medical Center Hospital, Lawton, OK, CCN 370097
• Clinton Regional Hospital Hospital, Clinton, OK, CCN 370784

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9763/brand/1/csg/1/fhir/r4
• Direct secure messaging: smoore509652@direct-ehr-ssmhc.com
• Direct secure messaging: stefany.moore.1@9763.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aryan P. Kadivar, M.D., P.C.

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1336259613
  Medicare reassignment Care Compare group NPD
• Carnegie Tri-County Municipal Hospital Management, Inc

  dba Carnegie Tri-County Municipal Hospital

  • General Practice Physician
  • Carnegie, OK
  • NPI 1275657017
  Medicare reassignment NPD
• Clinton Hospital Authority

  dba Clinton Regional Hospital

  • Family Medicine Physician
  • Clinton, OK
  • NPI 1528812237
  Medicare reassignment NPD
• Cordell Memorial Hospital 0189

  dba Cordell Hospital Authority dba Cordell Memorial Hospital

  • Critical Access Hospital
  • Cordell, OK
  • NPI 1750384426
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Oklahoma TCS LLC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1043932486
  Medicare reassignment NPD
• Ies Oklahoma LLC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1437916525
  Medicare reassignment NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Rural Acute Care Hospital
  • Idabel, OK
  • NPI 1629020177
  Medicare reassignment NPD
• Prague Healthcare Authority

  dba Prague Memorial Regional Hospital

  • Emergency Medicine Physician
  • Prague, OK
  • NPI 1851537096
  Medicare reassignment NPD
• Carnegie Tri-County Municipal Hospital Management, Inc.

  dba Carnegie Tri-County Municipal Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Carnegie, OK
  • NPI 1861660920
  NPD
• Clinton Hospital Authority

  • General Acute Care Hospital
  • Clinton, OK
  • NPI 1942921929
  NPD
• Cordell Memorial Hospital 0189

  • Rural Health Clinic/Center
  • Cordell, OK
  • NPI 1598117137
  NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Surgical Clinic

  • Surgery Physician
  • Idabel, OK
  • NPI 1356506109
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clinton Hospital Authority

  • General Acute Care Hospital
  • Clinton, OK
  • NPI 1942921929
  Care Compare affiliation
• Comanche County Hospital Authority

  dba CCMH Ambulance Services

  • Land Ambulance
  • Walters, OK
  • NPI 1285181610

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  dba Comanche County Memorial Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  Care Compare affiliation
• Comanche County Hospital Authority

  dba CCMH Ambulance Services

  • Land Ambulance
  • Lawton, OK
  • NPI 1770525883

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1023657434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "VERDEN",
            "state": "OK",
            "postal_code": "730920052",
            "telephone_number": "405-274-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716404",
            "telephone_number": "405-307-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEFANY",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0109496",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F01200268",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OK",
            "license": "109496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Filinto Moore
• Renata Moore
• Robert Montgomery Moore, MHR, LPC
• Sarah Nicole Moore, PH.D.
• Sasha Moore
• Susan Reed Moore
• Jody Lynn Moreno, C-PRSS
• Camille Morgan, MS- CCC SLP
• Christine Denise Morgan, D.PH
• Katherine Morgan

• Nurse Practitioner in Norman, OK
• Providers in Norman, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.