BRECKEN DEWEY MOORE FNP
NPI 1336830108
Nurse Practitioner in Sandy, UT

Q: What is Brecken Moore's NPI number?

The NPI number for Brecken Moore is 1336830108. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Brecken Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Brecken Moore was last updated on September 11, 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.

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment

7410 S CREEK RD STE 100, SANDY, UT 84093(801) 816-1010 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jul 14, 2023, May 15, 2023 (3 updates tracked since 2023).

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About Brecken Dewey Moore Fnp NPPES

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

BRECKEN DEWEY MOORE FNP (NPI 1336830108) is an individual nurse practitioner in Sandy, Utah, licensed in Utah (120502688900) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336830108

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameBRECKEN DEWEY MOORECredential: FNP

Location Address7410 S CREEK RD STE 100Sandy, UT 84093-6151

Mailing Address1004 W Tuscany View Rd Unit 1705Midvale, UT 84047-4826 · (435) 590-2312

Phone(801) 816-1010

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 15, 2023

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1336830108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 120502688900

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

7410 S CREEK RD STE 100, Sandy, UT 84093

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Brecken Dewey Moore Fnp 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 ID8325489016

PECOS Enrollment IDI20240513001658

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84093 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

DANIELA ALEJANDRA ZUNIGA SALAZAR PA-C

Physician Assistant