Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Michael Moore, NP-C

Individual provider Family Nurse Practitioner · NPI 1902154172

John Michael Moore, NP-C is a Nurse Practitioner in Sandy, Utah. Qualified in 2012, 14 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2012
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1403 E Sego Lily Dr Ste 100
Sandy, UT 84092-4350
Phone: (801) 265-2212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8205692-4405 (UT)

Record details

NPI number1902154172
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedAugust 20, 2012
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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