TRACI MOORE APRN, FNP-C
NPI 1225570005
Nurse Practitioner - Family in Kingman, AZ
About Traci Moore Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACI MOORE APRN, FNP-C (NPI 1225570005) is an individual family provider in Kingman, Arizona, licensed in Arizona (315038) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine - Phoenix (2020).
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Traci Moore Aprn, Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Traci Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Havasu City, AZ 86403
- Reassigned Medicare billing, Arizona enrollment
- 36 clinicians in this Medicare group
Prescott, AZ 86301
- Reassigned Medicare billing, Arizona enrollment
- 214 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGMAN, AZ 86409
KINGMAN, AZ 86409
KINGMAN, AZ 86409
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 Traci Moore's NPI number?
The NPI number for Traci Moore is 1225570005. It was assigned to this individual provider in the NPPES registry on November 10, 2016.
Where is Traci Moore located?
Traci Moore practices at 3931 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (928) 385-7100.
What is Traci Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Traci Moore enrolled in Medicare?
Yes. Traci Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Traci Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Traci Moore reassigns Medicare benefits to 2 organizations: Lakeside Heart And Vascular Center PLLC (Lake Havasu City, AZ) and Prescott Healthcare Solutions LLC (Prescott, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Traci Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Traci Moore accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Traci Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Traci Moore was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Traci Moore, APRN, FNP-C · NPI 1225570005
Family physician in Kingman, Arizona. Individual provider, active in the CMS NPPES registry since November 10, 2016.
## Identity
- **NPI:** 1225570005 (Entity type: Individual)
- **Enumerated:** November 10, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 315038 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 3931 N STOCKTON HILL RD, Kingman, AZ 86409-2426
- **Phone:** (928) 385-7100 · **Fax:** (855) 538-3114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lakeside Heart And Vascular Center PLLC (NPI 1801194352, Lake Havasu City, AZ); Prescott Healthcare Solutions LLC (NPI 1821454505, Prescott, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine - Phoenix, class of 2020
## Record status
- **NPPES last updated:** December 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225570005) · Data from the CMS NPPES public registry.