Individual provider Active NPI

Lauren Nicole Moss, APRN

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1568038206
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216084 Issued in AR
Practice address
5901 Riley Park Dr Ste B
Fort Smith, AR 72916-6104
Phone
(479) 763-3050
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 216084 AR Primary

Addresses

Primary practice location

5901 Riley Park Dr Ste B
Fort Smith, AR 72916-6104

Mailing address

5901 Riley Park Dr Ste B
Fort Smith, AR 72916-6104
Phone (479) 763-3050

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
I20250917004098 AR Practitioner - Nurse Practitioner 3476057936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lonnie Harrison PAGroup PAC ID 7618252420, 2 clinicians

Practice addresses (Care Compare)

3 Medical Park Dr
Suite 201
Benton, AR 72015-3725
Phone (501) 337-5678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216084ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lonnie Harrison, PA CurrentSince Sep 1, 2025 Accepting new patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Oct 10, 2025 Accepting new patients
Premier Pediatrics PLLC PastSince Jun 6, 2021 Accepting new patients
Premier Pediatrics PastSince Jun 6, 2021 Accepting new patients
Arkansas Children's Medical Group PLLC Past Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients

Locations

3 Medical Park Dr
Ste 201
Benton, AR 72015
Phone (501) 337-5678

9015 Dailey Dr
Little Rock, AR 72209
Phone (501) 364-6560

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1568038206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 RILEY PARK DR STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166104",
            "telephone_number": "479-763-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 RILEY PARK DR STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166104",
            "telephone_number": "479-763-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.