MICHAEL D MOORE
NPI 1851140149
Nurse Practitioner - Family in West Jordan, UT

Active since May 17, 2024PECOS EnrolledAccepts Medicare Assignment
8846 S REDWOOD RD STE E121, WEST JORDAN, UT 84088(801) 569-1999 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2025, May 19, 2024 (2 updates tracked since 2024).

About Michael D Moore NPPES

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

MICHAEL D MOORE (NPI 1851140149) is an individual family provider in West Jordan, Utah, licensed in Utah (11004975-4405) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1851140149
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL D MOORE
Location Address8846 S REDWOOD RD STE E121West Jordan, UT 84088-9366
Mailing AddressPo Box 198560Atlanta, GA 30384-8560
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 17, 2024
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1851140149 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 UT · 11004975-4405
8846 S REDWOOD RD STE E121, West Jordan, UT 84088

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

Michael D Moore 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 ID6204346695
PECOS Enrollment IDI20250605002599
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 84088 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 5

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

Nurse Practitioner (Family)
8846 S REDWOOD RD STE E121
WEST JORDAN, UT 84088
Family Medicine
8846 S REDWOOD RD STE E121
WEST JORDAN, UT 84088
Physician Assistant
8846 S REDWOOD RD STE E121
WEST JORDAN, UT 84088
Obstetrics & Gynecology
8846 S REDWOOD RD STE E121
WEST JORDAN, UT 84088
Family Medicine
8846 S REDWOOD RD STE E121
WEST JORDAN, UT 84088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851140149, enumerated as an "individual" on May 17, 2024.

The provider is located at 8846 S REDWOOD RD STE E121 WEST JORDAN, UT 84088 and the phone number is (801) 569-1999.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.