TRACEY LEE MOORE APRN
NPI 1164069860
Nurse Practitioner - Family in The Villages, FL

Q: What is Tracey Moore's NPI number?

The NPI number for Tracey Moore is 1164069860. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Q: What is Tracey Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Moore was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 December 02, 2019PECOS EnrolledAccepts Medicare Assignment

2485 PINELLAS PL, THE VILLAGES, FL 32163(352) 674-1720(352) 674-8920 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Dec 3, 2019 (2 updates tracked since 2019).

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About Tracey Lee Moore Aprn NPPES

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

TRACEY LEE MOORE APRN (NPI 1164069860) is an individual family provider in The Villages, Florida, licensed in Florida (APRN11005204) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164069860

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTRACEY LEE MOORECredential: APRN

Location Address2485 PINELLAS PLThe Villages, FL 32163-2703

Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-8905 · Fax (352) 674-8919

Phone(352) 674-1720

Fax(352) 674-8920

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 2, 2019

Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1164069860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11005204

2485 PINELLAS PL, The Villages, FL 32163

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracey Lee Moore Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547690158

PECOS Enrollment IDI20200422003362

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32163 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIGUEL MANTILLA-VILLAMIZAR MD

Internal Medicine