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JENNIFER MOORE AGACNP-BC, DNP
NPI 1962086165
Nurse Practitioner in South Jordan, UT

Active since May 12, 2021PECOS EnrolledAccepts Medicare Assignment
5089 W DUCKHORN DR, SOUTH JORDAN, UT 84009(801) 362-4227 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Jul 13, 2021, Jun 17, 2021 and 1 more (4 updates tracked since 2021).

About Jennifer Moore Agacnp-bc, Dnp NPPES

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

JENNIFER MOORE AGACNP-BC, DNP (NPI 1962086165) is an individual nurse practitioner in South Jordan, Utah, licensed in Utah (7014826-4405) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orem, and is a graduate of University Of Utah School Of Medicine (2021).

NPPES Registry Identity

NPI1962086165
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER MOORECredential: AGACNP-BC, DNP
Location Address5089 W DUCKHORN DRSouth Jordan, UT 84009-8145
Mailing Address5089 W Duckhorn DrSouth Jordan, UT 84009-8145 · (801) 362-4227
Phone(801) 362-4227
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2021
Enumeration DateMay 12, 2021
Last NPPES UpdateOctober 15, 20254 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1962086165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 7014826-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5089 W DUCKHORN DR, South Jordan, UT 84009
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Secondary Practice Location 1

Location 1157 N 400 W Ste B7Orem, UT 84057-1909 · Phone (801) 797-0097 · Fax (877) 690-5163

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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

Jennifer Moore Agacnp-bc, Dnp 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 ID345643946
PECOS Enrollment IDI20210720001991
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84009 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.

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 Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1962086165. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Jennifer Moore located?

Jennifer Moore practices at 5089 W Duckhorn Dr, South Jordan, UT 84009. The listed phone number is (801) 362-4227.

What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Moore enrolled in Medicare?

Yes. Jennifer 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 Jennifer Moore accept?

Health plans from University of Utah Health Plans list Jennifer 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 Jennifer Moore was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.