TRACY L. MOORE CPNP
NPI 1386771046
Nurse Practitioner in Saint Louis, MO

Active since February 28, 2007PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracy L. Moore Cpnp NPPES

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

TRACY L. MOORE CPNP (NPI 1386771046) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (107629) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386771046
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTRACY L. MOORECredential: CPNP
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1836 Lackland Hill Pkwy, Attn Credentialing DepartmentSaint Louis, MO 63146-3572 · (314) 989-0300
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1386771046 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 MO · 107629
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.

1465 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tracy L. Moore Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Physical Medicine & Rehabilitation
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Physical Medicine & Rehabilitation
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Diagnostic Radiology)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Pediatric Radiology)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychologist
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychologist
1465 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Tracy Moore's NPI number?

The NPI number for Tracy Moore is 1386771046. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Tracy Moore located?

Tracy Moore practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5600.

What is Tracy Moore's specialty?

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

Is Tracy Moore enrolled in Medicare?

Yes. Tracy Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Moore was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.