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

Q: 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.

Q: What is Savannah 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 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 16 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.

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: August 02, 2026.

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

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 19

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

CHARLSEY MCALISTER NAVE

Physician Assistant