NPIMap

Individual provider Active NPI

Myra Colleen Moore, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Batesville, AR
National Provider Identifier
1831547421
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A183732 Issued in IA
Practice address
1710 Harrison St
Batesville, AR 72501-7303
Phone
(870) 262-1338
NPI assigned
May 25, 2016
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A004775 AR
Nurse Practitioner 363L00000X A183732 IA Primary
Family Nurse Practitioner 363LF0000X 1202827 TX

Addresses

Primary practice location

1710 Harrison St
Batesville, AR 72501-7303

Mailing address

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, IA, AZ, VA, TX, WV6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20170303000391 AR Practitioner - Nurse Practitioner 5799069100 Reassigns benefits to 2 organizations
I20250610003713 IA Practitioner - Nurse Practitioner 5799069100 Reassigns benefits to 1 organization
I20250625004117 AZ Practitioner - Nurse Practitioner 5799069100 Reassigns benefits to 1 organization
I20250703000282 VA Practitioner - Nurse Practitioner 5799069100 Reassigns benefits to 2 organizations
I20250905000540 TX Practitioner - Nurse Practitioner 5799069100 Reassigns benefits to 2 organizations
I20250927000410 WV Practitioner - Nurse Practitioner 5799069100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Iowa LLCGroup PAC ID 1557600756, 10 clinicians
Emergency Physicians Southwest PCGroup PAC ID 2264538529, 96 clinicians
Greenbrier Emergency Services, Inc.Group PAC ID 2668377359, 53 clinicians
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians
Hospital Medicine Associates of TX PAGroup PAC ID 4587962949, 8 clinicians

Practice addresses (Care Compare)

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

1710 Harrison St Slot
24 White River Emergency Physicians
Batesville, AR 72501-7303
Phone (870) 262-1240

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

2900 S Loop
Suite 256
Palestine, TX 75801-6958
Phone (903) 731-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004775ARMDNurse Practitioner
A183732IAMDNurse Practitioner
1202827TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. Current Accepting new patients
White River Health System, Inc. CurrentSince Jan 6, 2026 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Emergency Services of Iowa LLC Nurse Practitioner CurrentSince Jul 23, 2025 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Hospital Medicine Associates of TX PA Nurse Practitioner CurrentSince Jan 19, 2026 Accepting new patients
Greenbrier Emergency Services, Inc. Nurse Practitioner CurrentSince Nov 28, 2025 Accepting new patients
White River Health System, Inc CurrentSince Nov 8, 2016 Accepting new patients
Health Care Alliance, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Emergency Physicians Southwest, PC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1710 Harrison St
#24
Batesville, AR 72501
Phone (870) 262-1240

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Organizations & group practices 12

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1831547421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MYRA",
        "middle_name": "COLLEEN",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004775",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A183732",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1202827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.