Individual provider Active NPI

Tracy Lynn Hutson Moore, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1730393893
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
900315 Issued in NC
Practice address
1984 S 16TH St Ste 1
Wilmington, NC 28401-6674
Phone
(910) 393-2525
Fax
(910) 393-2827
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024164830 VA
Family Nurse Practitioner 363LF0000X 900315 NC Primary

Addresses

Primary practice location

1984 S 16TH St Ste 1
Wilmington, NC 28401-6674

Mailing address

PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20041014001008 NC Practitioner - Nurse Practitioner 7719947605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
900315NCMDFamily Nurse Practitioner
0024164830VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health Associates, P.a. CurrentSince Jan 2, 2024 Accepting new patients

Locations

1984 S 16th St
Ste 1
Wilmington, NC 28401
Phone (910) 452-8633

1709 S 16th St
Wilmington, NC 28401
Phone (910) 452-8633

1709 S 16th St
Ste A
Wilmington, NC 28401
Phone (910) 452-8633

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1730393893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15109",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085109",
            "telephone_number": "910-392-2525",
            "fax_number": "910-392-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 S 16TH ST STE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016674",
            "telephone_number": "910-393-2525",
            "fax_number": "910-393-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON MOORE",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164830",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "900315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.