Karley Brooke Moore, - Medicare Nurse Practitioner in Manila, AR

Karley Brooke Moore, is a medicare enrolled "Nurse Practitioner - Family" in Manila, Arkansas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice T W Wagner Inc and her current practice location is 3644 W State Highway 18, Manila, Arkansas. You can reach out to her office (for appointments etc.) via phone at (708) 561-3300.

Karley Brooke Moore is licensed to practice in Arkansas (license number 212805) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114520491.

Contact Information

Karley Brooke Moore,
3644 W State Highway 18,
Manila, AR 72442-8049
(708) 561-3300
(870) 561-3307

Map and Direction




Provider's Profile

Full NameKarley Brooke Moore
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location3644 W State Highway 18, Manila, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karley Brooke Moore graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1114520491
  • Provider Enumeration Date: 11/18/2020
  • Last Update Date: 01/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103228291
  • Enrollment ID: I20210712004087

Medical Identifiers

Medical identifiers for Karley Brooke Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114520491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 212805 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Bernards Medical CenterJonesboro, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
T W Wagner Inc11533590966

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karley Brooke Moore allows following entities to bill medicare on her behalf.
Entity NameT W Wagner Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720183031
PECOS PAC ID: 1153359096
Enrollment ID: O20050830000950
Entity NameMississippi County Hospital System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164720868
PECOS PAC ID: 9739230723
Enrollment ID: O20110819000139
Entity NameSt Bernards Physician Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447923438
PECOS PAC ID: 7012311269
Enrollment ID: O20210810001875

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karley Brooke Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Karley Brooke Moore,
624 Lanes Way,
Manila, AR 72442-9136

Ph: (870) 740-9800
Karley Brooke Moore,
3644 W State Highway 18,
Manila, AR 72442-8049

Ph: (708) 561-3300

Reviews and Comments


Nurse Practitioner Nurses in Manila, AR

Kristy Lynn Wilson, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3364 W Hwy 18, Manila, AR 72442
Phone: 870-561-3300    Fax: 870-561-3307
Lacey Poe, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442
Phone: 870-561-3300    Fax: 870-561-3307
Angie D Hicks-master, ANP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 920 East Medical Drive, Manila, AR 72442
Phone: 810-570-0358    Fax: 870-570-0359
Morgan Bliss Noble, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3644 Hwy 18 Bypass Ste. B, Manila, AR 72442
Phone: 870-561-3300    Fax: 870-561-3307
Allison Nicole Hitt, ARPN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3644 W Hwy 18, Manila, AR 72442
Phone: 870-974-1110    
Amber Michelle Brown, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 201 E Susan, Manila, AR 72442
Phone: 870-810-1830    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.