Individual provider Active NPI

Elizabeth Moore, APRN

  • Family Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1538937339
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221593 Issued in AR
Practice address
2805 Mid Cities Dr Ste 1
Bentonville, AR 72712-4291
Phone
(479) 271-7634
Fax
(479) 271-7654
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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 221593 AR Primary

Addresses

Primary practice location

2805 Mid Cities Dr Ste 1
Bentonville, AR 72712-4291

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

3150 E Heritage Pkwy
Farmington, AR 72730-5529
Phone (479) 400-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240110003744 AR Practitioner - Nurse Practitioner 7517318835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

3150 E Heritage Pkwy
Primary Health
Farmington, AR 72730-5529
Phone (479) 400-1140

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Jan 2, 2024 Accepting new patients
Arcare CurrentSince Jan 2, 2024 Accepting new patients
Arcare Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

2805 Mid Cities Dr
Ste 1
Bentonville, AR 72712
Phone (479) 271-7634

3150 E Heritage Pkwy
Farmington, AR 72730
Phone (479) 215-3040

Interoperability endpoints

  • Direct secure messaging: elizabeth.moore@arcare.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1538937339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MID CITIES DR STE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124291",
            "telephone_number": "479-271-7634",
            "fax_number": "479-271-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 E Heritage Pkwy",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "AR",
            "postal_code": "727305529",
            "country_code": "US",
            "telephone_number": "479-400-1140",
            "fax_number": "479-400-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "221593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.