Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033982053 Individual Practitioner Female Practitioner

Tracy Rene Moore , LPN, CSFA

Licensed Practical Nurse • Shiloh, IL

Professional Overview & Biography Verified Profile Summary

Tracy Moore, LPN, CSFA is a registered healthcare professional specializing in Licensed Practical Nurse in Shiloh, IL. Practice services are available at 1404 CROSS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1404 Cross St

Shiloh, IL 622692988

Telephone 6186071000
Associated Practice Facility / Clinic
🏢 Metro-East Services, Inc. Facility NPI 1023494473

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Shiloh, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Shiloh, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-01
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043116387

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Lydia Davis , APRN

Nurse Practitioner - Family

NPI 1215817481

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2023

Registered at 1404 CROSS ST, SHILOH, IL 622692988 (Tel: 6186071000)

📍
Updated Business Mailing Address November 01, 2023

Registered at 305 MARILYN DR, NEW BADEN, IL 622651103 (Tel: 6186983620)

👤
Provider Name / Credentials Updated November 01, 2023

Recorded as TRACY MOORE, LPN,CSFA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2023

Licensed Practical Nurse (License #043116387 in IL)

🟢
Initial NPI Registration & Enumeration November 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033982053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2023
Last Update: November 01, 2023
Sole Proprietor: No

Mailing Address

305 Marilyn Dr

New Baden, IL 622651103

Phone: 6186983620

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.