Tracey Lee Moore, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11005204 Issued in FL

Practice address

2485 Pinellas PL
The Villages, FL 32163-2703

Phone

(352) 674-1720

Fax

(352) 674-8920

NPI assigned

Dec 2, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Centerwell Senior Primary Care Vitality IncGroup PAC ID 4486152899, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4
• Direct secure messaging: tracey.moore.1@18324.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Villages Health System LLC

  • General Practice Physician
  • The Villages, FL
  • NPI 1699012922
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1730076621
  Medicare reassignment Care Compare group NPD (past)
• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1457223406
  NPD
• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1497627434
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1164069860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 PINELLAS PL",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632703",
            "telephone_number": "352-674-1720",
            "fax_number": "352-674-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TRACEY",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie B Moniz, LCSW
• Cassandra Montalvo, DPT
• Shelia Moore -Faine, APRN
• James Marvin Moore Jr., ED.D.
• Michael D. Moore, BC-HIS
• Marisol Mora, D.D.S.
• Scott Moran, FNP,C
• Roland More, MD
• Ann Marie Moreland, APRN
• Jennifer Gail Moreton

• Family Nurse Practitioner in The Villages, FL
• Providers in The Villages, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.