TAYLOR SUZANNE MOORE FNP-C
NPI 1255911491
Nurse Practitioner - Family in Latham, NY

Q: What is Taylor Moore's NPI number?

The NPI number for Taylor Moore is 1255911491. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Taylor 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 Taylor Moore was last updated on February 12, 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 April 12, 2021PECOS Enrolled

6 WELLNESS WAY STE 101, LATHAM, NY 12110(518) 782-7733(518) 782-0800 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2022, Apr 12, 2021 (2 updates tracked since 2021).

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About Taylor Suzanne Moore Fnp-c NPPES

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

TAYLOR SUZANNE MOORE FNP-C (NPI 1255911491) is an individual family provider in Latham, New York, licensed in New York (F347388) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255911491

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAYLOR SUZANNE MOORECredential: FNP-C

Location Address6 WELLNESS WAY STE 101Latham, NY 12110-2156

Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799

Phone(518) 782-7733

Fax(518) 782-0800

Sole ProprietorNo

Enumeration DateApril 12, 2021

Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1255911491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · F347388✔ Licensed in NY · F34738801

Also ListedRegistered NurseTaxonomy 163W00000X · License 687473 (NY)

6 WELLNESS WAY STE 101, Latham, NY 12110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Suzanne Moore Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Physicians, PLLC

0.3 mi

Internal Medicine

6 WELLNESS WAY STE 201
Latham, NY 12110

Reassigned Medicare billing, New York enrollment
474 clinicians in this Medicare group

NPI 1922048370 (518) 782-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 7

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

DR. ANTHONY F MALONE M.D.

Pediatrics (Developmental - Behavioral Pediatrics)