TRACEY D. MOORE NP
NPI 1720188022
Nurse Practitioner - Family in Cheyenne, WY

Q: What is Tracey Moore's NPI number?

The NPI number for Tracey Moore is 1720188022. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Tracey 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 Tracey Moore was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 September 25, 2006PECOS Enrolled

214 E 23RD ST, CHEYENNE REGIONAL MEDICAL CENTER, EMERGENCY DEPT., CHEYENNE, WY 82001(307) 634-2273(307) 633-7671 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tracey D. Moore Np NPPES

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

TRACEY D. MOORE NP (NPI 1720188022) is an individual family provider in Cheyenne, Wyoming, licensed in Wyoming (175880851) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720188022

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTRACEY D. MOORECredential: NP

Location Address214 E 23RD ST, CHEYENNE REGIONAL MEDICAL CENTER, EMERGENCY DEPT.Cheyenne, WY 82001-3748

Mailing Address1241 W Mineral Ave, Suite 100Littleton, CO 80120-5685 · (303) 759-0854 · Fax (303) 759-0864

Phone(307) 634-2273

Fax(307) 633-7671

Sole ProprietorNo

Enumeration DateSeptember 25, 2006

Last NPPES UpdateMay 11, 2009

✔ NPI 1720188022 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 WY · 175880851

214 E 23RD ST, Cheyenne, WY 82001

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Other Identifiers 5

Medicaid35177837CO

Medicare UPINQ72148WY

Medicaid123828100WY

Other314502WY · Bcbs

Medicare PINC21298WY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 82001 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$99.46 typical visit price

range $18.19 – $139.32

Typical copayment $24.86 (range $4.54 – $34.83)

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 20

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

KARIN KANTZ RD

Dietitian, Registered