MR. SAMUEL C. MOORE PMHNP FNP-C
NPI 1659048460
Nurse Practitioner - Family in Hartsville, TN
About Mr. Samuel C. Moore Pmhnp Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMUEL C. MOORE PMHNP FNP-C (NPI 1659048460) is an individual family provider in Hartsville, 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
Specialties & Licenses 3
Accepted 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 Pmhnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARTSVILLE, TN 37074
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 140 Macon Way, Hartsville, TN 37074. The listed phone number is (615) 808-0400.
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 June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Samuel C. Moore, PMHNP FNP-C · NPI 1659048460
Family physician in Hartsville, Tennessee. Individual provider, active in the CMS NPPES registry since August 28, 2021.
## Identity
- **NPI:** 1659048460 (Entity type: Individual)
- **Enumerated:** August 28, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 29580 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 140 MACON WAY, Hartsville, TN 37074-2080
- **Phone:** (615) 808-0400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659048460) · Data from the CMS NPPES public registry.