John Michael Moore, NP-C - Medicare Nurse Practitioner in Sandy, UT

John Michael Moore, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Sandy, Utah. He graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Douglas Vogeler Md Pc, Jordan Ridge Family Medicine Llc, University Of Utah Community Physicians Group and his current practice location is 1403 E Sego Lily Dr Ste 100, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 265-2212.

John Michael Moore is licensed to practice in Utah (license number 8205692-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902154172.

Contact Information

John Michael Moore, NP-C
1403 E Sego Lily Dr Ste 100,
Sandy, UT 84092-4350
(801) 265-2212
Not Available

Map and Direction




Provider's Profile

Full NameJohn Michael Moore
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location1403 E Sego Lily Dr Ste 100, Sandy, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Michael Moore graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1902154172
  • Provider Enumeration Date: 08/20/2012
  • Last Update Date: 06/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638498975
  • Enrollment ID: I20160920002072

Medical Identifiers

Medical identifiers for John Michael Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902154172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 8205692-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Medical CenterMurray, UTHospital
Alta View HospitalSandy, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Douglas Vogeler Md Pc03455763362
Jordan Ridge Family Medicine Llc882009147314
University Of Utah Community Physicians Group9739403569255

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John Michael Moore allows following entities to bill medicare on his behalf.
Entity NameJordan Ridge Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770509754
PECOS PAC ID: 8820091473
Enrollment ID: O20060821000255
Entity NameUniversity Of Utah Community Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598169203
PECOS PAC ID: 9739403569
Enrollment ID: O20150126002118
Entity NameDouglas Vogeler Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811555642
PECOS PAC ID: 0345576336
Enrollment ID: O20190729003736

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Michael Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Michael Moore, NP-C
Po Box 35380,
Las Vegas, NV 89133-5380

Ph: (702) 954-7672
John Michael Moore, NP-C
1403 E Sego Lily Dr Ste 100,
Sandy, UT 84092-4350

Ph: (801) 265-2212

Reviews and Comments


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Jennifer Lyn Aragon, A.P.R.N.
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Practice Location: 9980 S 300 W Ste 200, Sandy, UT 84070
Phone: 385-495-4151    Fax: 844-596-0409

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.