DEREK MOOS AGPCNP-BC
NPI 1104658749
Nurse Practitioner - Primary Care in Syracuse, UT

Q: What is Derek Moos's NPI number?

The NPI number for Derek Moos is 1104658749. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Q: What is Derek Moos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Derek Moos was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2024

2977 WEST, 2600 SOUTH, SYRACUSE, UT 84075(801) 682-6170 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Derek Moos Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK MOOS AGPCNP-BC (NPI 1104658749) is an individual primary care provider in Syracuse, Utah, licensed in Utah (6586693-4405) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1104658749

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameDEREK MOOSCredential: AGPCNP-BC

Location Address2977 WEST, 2600 SOUTHSyracuse, UT 84075

Mailing Address2977 West, 2600 SouthSyracuse, UT 84075 · (801) 682-6170

Phone(801) 682-6170

Sole ProprietorYes

Enumeration DateAugust 14, 2024

NPPES CertifiedAugust 11, 2024

✔ NPI 1104658749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in UT · 6586693-4405

2977 WEST, Syracuse, UT 84075

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Moos's NPI number?

The NPI number for Derek Moos is 1104658749. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Derek Moos located?

Derek Moos practices at 2977 West 2600 South, Syracuse, UT 84075. The listed phone number is (801) 682-6170.

What is Derek Moos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Derek Moos was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.