Individual provider Active NPI

Heather Lea Moiser, APRN-CNP

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1457790974
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78547 Issued in OK
Practice address
1020 N Commerce St
Ardmore, OK 73401-3920
Phone
(580) 223-5311
Fax
(580) 220-6429
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 78547 OK Primary

Addresses

Primary practice location

1020 N Commerce St
Ardmore, OK 73401-3920

Mailing address

1020 N Commerce St
Ardmore, OK 73401-3920
Phone (580) 223-5311

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141216000571 OK Practitioner - Nurse Practitioner 9830412253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1020 N Commerce St
Mercy Clinic Primary Care Commerce
Ardmore, OK 73401-3920
Phone (580) 223-5311

Hospital & facility affiliations

  • Ideal Home Care, L.P. Home health agency, Ardmore, OK, CCN 377678
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Arbuckle Memorial Hospital Authority Hospital, Sulphur, OK, CCN 371328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
78547OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr James Forrestal Inc CurrentSince Jun 15, 2014 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 1, 2024 Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Locations

1020 N Commerce St
Ardmore, OK 73401
Phone (580) 223-5311

830 16th Ave NW
Ardmore, OK 73401
Phone (580) 226-5120

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

Organizations & group practices 3

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1457790974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013920",
            "telephone_number": "580-223-5311",
            "fax_number": "580-220-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013920",
            "telephone_number": "580-223-5311",
            "fax_number": "580-220-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISER",
        "first_name": "HEATHER",
        "middle_name": "LEA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "78547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.