Individual provider Active NPI

Priscila Moores, APRN

  • Nurse Practitioner
  • Guthrie, OK
National Provider Identifier
1639585045
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
97357 Issued in OK
Practice address
5621 Little Farms Rd
Guthrie, OK 73044-7455
Phone
(405) 361-2250
Fax
(405) 337-9705
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 000000 OK
Nurse Practitioner 363L00000X 97357 OK Primary

Addresses

Primary practice location

5621 Little Farms Rd
Guthrie, OK 73044-7455

Mailing address

5621 Little Farms Rd
Guthrie, OK 73044-7455
Phone (405) 361-2250

Other practice location 1

7017 N Robinson Ave
Oklahoma City, OK 73116
Phone (405) 466-3335

Other names 1

  • Priscila Moreno Former name

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
I20150727000976 OK Practitioner - Nurse Practitioner 6305150996 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Oct 21, 2019 Accepting new patients
Advance Physicians Group CurrentSince Oct 30, 2021 Accepting new patients
ZMC Pharmacy LLC PastSince Jun 20, 2016 Accepting new patients

Locations

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841

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

Interoperability endpoints

  • Direct secure messaging: pmoores1040763@directc.mercy.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1639585045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 LITTLE FARMS RD",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730447455",
            "telephone_number": "405-361-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 LITTLE FARMS RD",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730447455",
            "telephone_number": "405-361-2250",
            "fax_number": "405-337-9705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7017 N Robinson Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73116",
            "country_code": "US",
            "telephone_number": "405-466-3335",
            "fax_number": "405-466-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORES",
        "first_name": "PRISCILA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "000000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "97357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILA",
            "last_name": "MORENO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.