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SAVANNAH MOORE
NPI 1710786884
Nurse Practitioner - Family in Lexington, KY

Active since March 11, 2025PECOS Enrolled
828 LANE ALLEN RD STE 219, LEXINGTON, KY 40504(443) 383-9300(855) 866-8701 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2025, Mar 11, 2025 (2 updates tracked since 2025).

About Savannah Moore NPPES

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

SAVANNAH MOORE (NPI 1710786884) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (4036769) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710786884
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAVANNAH MOORE
Location Address828 LANE ALLEN RD STE 219Lexington, KY 40504-3659
Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (443) 383-9300 · Fax (855) 866-8701
Phone(443) 383-9300
Fax(855) 866-8701
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 11, 2025
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1710786884 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 KY · 4036769
828 LANE ALLEN RD STE 219, Lexington, KY 40504
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325562168
PECOS Enrollment IDI20260410000343
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Savannah Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Consonant Healing Medical Associates
412 mi
Surgery
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
  • Reassigned Medicare billing, Tennessee enrollment
  • 14 clinicians in this Medicare group
NPI 1588122535 (301) 928-5012
Consonant Healing Associates Of De LLC
438 mi
Surgery
909 RIDGEBROOK RD STE 220
Sparks, MD 21152
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 84 clinicians in this Medicare group
NPI 1669099321 (443) 383-9300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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 17

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

CHARLSEY MCALISTER NAVE
Physician Assistant
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Fayette County (859) 323-1100
MS. LISA CAROLE PRIMM ARNP
Nurse Practitioner (Family)
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Fayette County (502) 498-4071
COURTNEY MICHELLE CATRON LCSW
Social Worker (Clinical)
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Fayette County (260) 483-9081
NANCY MARCUM APRN
Nurse Practitioner
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Fayette County (443) 383-9300
HARMONIC MEDICAL GROUP OF KENTUCKY, P.S.C.
Family Medicine (Geriatric Medicine)
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Fayette County (862) 375-6089
DR. KATHY DARLENE SHORT D.O.
Family Medicine
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Fayette County (177) 821-5773
EVENTUS ECS - KENTUCKY, PLLC
Nurse Practitioner
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Fayette County (855) 743-2247
SARA JOHNSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Fayette County (260) 483-9081

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 Savannah Moore's NPI number?

The NPI number for Savannah Moore is 1710786884. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Savannah Moore located?

Savannah Moore practices at 828 Lane Allen Rd Ste 219, Lexington, KY 40504. The listed phone number is (443) 383-9300.

What is Savannah Moore's specialty?

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

Is Savannah Moore enrolled in Medicare?

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

Which organizations bill Medicare for Savannah Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Savannah Moore reassigns Medicare benefits to 2 organizations: Consonant Healing Medical Associates (Silver Spring, MD) and Consonant Healing Associates Of De LLC (Sparks, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Savannah Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Savannah Moore accept?

Health plans from CareSource list Savannah 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 Savannah Moore was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.