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TRACY C. MOORE APRN
NPI 1417188558
Nurse Practitioner - Family in Lexington, KY

Active since August 06, 2009PECOS Enrolled
830 S LIMESTONE STREET, LEXINGTON, KY 40536(859) 218-3247(859) 257-2625 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2018, Jun 1, 2017 (2 updates tracked since 2017).

About Tracy C. Moore Aprn NPPES

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

TRACY C. MOORE APRN (NPI 1417188558) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3006134) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417188558
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY C. MOORECredential: APRN
Location Address830 S LIMESTONE STREETLexington, KY 40536-2477
Mailing Address830 S Limestone StreetLexington, KY 40536-0001 · (859) 218-3206 · Fax (859) 257-2625
Phone(859) 218-3247
Fax(859) 257-2625
Sole ProprietorNo
Enumeration DateAugust 6, 2009
Last NPPES UpdateJanuary 10, 20182 updates tracked since enumeration
✔ NPI 1417188558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in KY · 3006134✔ Licensed in FL · ARNP9370360
Also ListedRegistered NurseTaxonomy 163W00000X · License 1066578 (KY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3006134 (KY)
830 S LIMESTONE STREET, Lexington, KY 40536
Open in Google Maps ↗

Other Names 1

Former Name (1)Tracy A. Cavanaugh Arnp

Other Identifiers 3

OtherARNP9370360FL · Rn/arnp License
Medicaid7100087960KY
Other1066578KY · Rn License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 (PECOS)

Tracy C. Moore Aprn 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 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

DR. MOHAMMAD ABDUL MOTALIB MD
Internal Medicine
830 S LIMESTONE STREET
LEXINGTON, KY 40536
Fayette County (859) 218-3206

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 1417188558. It was assigned to this individual provider in the NPPES registry on August 6, 2009. The provider is also known as Tracy A. Cavanaugh Arnp.

Where is Tracy Moore located?

Tracy Moore practices at 830 S Limestone Street, Lexington, KY 40536. The listed phone number is (859) 218-3247.

What is Tracy Moore's specialty?

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

Is Tracy Moore enrolled in Medicare?

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

What insurance does Tracy Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Tracy 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 Tracy Moore was last updated on January 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.