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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SAMUEL C. MOORE FNP-C
NPI 1659048460
Nurse Practitioner - Family in Lafayette, TN

Active since August 28, 2021PECOS Enrolled
502 ELLINGTON DR, LAFAYETTE, TN 37083(615) 561-1042(615) 561-1043 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, Jun 13, 2025, Jul 19, 2022 and 3 more (6 updates tracked since 2021).

About Mr. Samuel C. Moore Fnp-c NPPES

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

MR. SAMUEL C. MOORE FNP-C (NPI 1659048460) is an individual family provider in Lafayette, Tennessee, licensed in Tennessee (29580) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659048460
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAMUEL C. MOORECredential: FNP-C
Location Address502 ELLINGTON DRLafayette, TN 37083-1697
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018 · Fax (615) 851-2018
Phone(615) 561-1042
Fax(615) 561-1043
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 28, 2021
Last NPPES UpdateSeptember 28, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1659048460 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 TN · 29580✔ Licensed in KY · 3016346
Also ListedFamily MedicineTaxonomy 207Q00000X · License 29580 (TN)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 29580 (TN)
502 ELLINGTON DR, Lafayette, TN 37083
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Mr. Samuel C. Moore Fnp-c 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 ID5294121083
PECOS Enrollment IDI20220404001296
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 37083 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.

Other Providers at the Same Location NPPES 3

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

FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Rural Health)
502 ELLINGTON DR
LAFAYETTE, TN 37083
Macon County (615) 561-1042
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
502 ELLINGTON DR
LAFAYETTE, TN 37083
Macon County (615) 561-1042
MRS. DEBORAH MARIE CARTER NP
Nurse Practitioner (Family)
502 ELLINGTON DR
LAFAYETTE, TN 37083
Macon County (615) 561-1042

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 Samuel Moore's NPI number?

The NPI number for Samuel Moore is 1659048460. It was assigned to this individual provider in the NPPES registry on August 28, 2021.

Where is Samuel Moore located?

Samuel Moore practices at 502 Ellington Dr, Lafayette, TN 37083. The listed phone number is (615) 561-1042.

What is Samuel Moore's specialty?

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

Is Samuel Moore enrolled in Medicare?

Yes. Samuel Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Moore accept?

Health plans from Oscar Insurance Company list Samuel 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 Samuel Moore was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.