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Active NPI 1962086165 Individual Practitioner Female Practitioner

Dr. Jennifer Moore , AGACNP-BC, DNP

Nurse Practitioner • South Jordan, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Moore, AGACNP-BC, DNP is a certified Nurse Practitioner practicing in South Jordan, UT. With approximately 5 years of clinical experience since graduating from University Of Utah School Of Medicine in 2021, Dr. Moore delivers high-quality medical care to the local community at 5089 W DUCKHORN DR.

Dr. Moore is affiliated with Diabetic Foot Solutions and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5089 W Duckhorn Dr

South Jordan, UT 840098145

Telephone 8013624227

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in South Jordan, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.8 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
17 Specialists

Practicing in South Jordan, UT (1143 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (5 Years) 5 Yrs
South Jordan Specialty Average (10.8 Years) 10.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
24 24 $165.00 $60.08

Medical Specialties & State Licenses

CMS Verified: 2025-10-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 7014826-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Diabetic Foot Solutions

700 W 800, Orem, UT 840576301

Phone: 8017970097

Secondary Practice Locations

157 N 400 W Ste B7

Orem, UT 840571909

Phone: 8017970097

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location October 15, 2025

Registered at 5089 W DUCKHORN DR, SOUTH JORDAN, UT 840098145 (Tel: 8013624227)

📍
Updated Practice Location September 16, 2024

Registered at 1660 E MURRAY HOLLADAY RD, HOLLADAY, UT 841175008 (Tel: 8014190705)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2024

Nurse Practitioner (License #7014826-4405 in UT)

📍
Updated Practice Location August 27, 2024

Registered at 5089 W DUCKHORN DR, SOUTH JORDAN, UT 840098145 (Tel: 8013624227)

📍
Updated Business Mailing Address August 27, 2024

Registered at 5089 W DUCKHORN DR, SOUTH JORDAN, UT 840098145 (Tel: 8013624227)

👤
Provider Name / Credentials Updated August 27, 2024

Recorded as JENNIFER MOORE, AGACNP-BC, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2024

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2021

Nurse Practitioner (License #7014826-4405 in UT)

NPI Profile Active May 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2021

Registered at 1865 N 760 W, OREM, UT 840572011 (Tel: 8013624227)

📍
Updated Business Mailing Address May 12, 2021

Registered at 1865 N 760 W, OREM, UT 840572011 (Tel: 8013624227)

👤
Provider Name / Credentials Updated May 12, 2021

Recorded as JENNIFER BRANDT, AGACNP-BC, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 12, 2021

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: 1962086165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2021
Last Update: October 15, 2025
Sole Proprietor: Yes

Mailing Address

5089 W Duckhorn Dr

South Jordan, UT 840098145

Phone: 8013624227

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.