MRS. LACY MOORE FNP
NPI 1457682874
Nurse Practitioner - Family in Wartrace, TN

Q: What is Lacy Moore's NPI number?

The NPI number for Lacy Moore is 1457682874. It was assigned to this individual provider in the NPPES registry on January 25, 2010.

Q: What is Lacy 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 Lacy Moore was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 January 25, 2010PECOS EnrolledAccepts Medicare Assignment

507 BLACKMAN BLVD W, WARTRACE, TN 37183(931) 389-0600 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Lacy Moore Fnp NPPES

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

MRS. LACY MOORE FNP (NPI 1457682874) is an individual family provider in Wartrace, Tennessee, licensed in Tennessee (14708) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt Bedford Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1457682874

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LACY MOORECredential: FNP

Location Address507 BLACKMAN BLVD WWartrace, TN 37183-2210

Mailing Address507 Blackman Blvd WWartrace, TN 37183-2210 · (931) 389-0600

Phone(931) 389-0600

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 25, 2010

Last NPPES UpdateSeptember 28, 2011

✔ NPI 1457682874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in TN · 14708

507 BLACKMAN BLVD W, Wartrace, TN 37183

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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 and accepts Medicare assignment

Mrs. Lacy 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 ID7719172279

PECOS Enrollment IDI20101109001489

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.

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440137

Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37183 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$19.92 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers14 claims14 services$909.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers19 claims19 services$113.47 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers32 claims32 services$186.72 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHELBYVILLE HOSPITAL COMPANY LLC

Clinic/Center (Rural Health)