Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104658749 Individual Practitioner Male Practitioner

Derek Moos , AGPCNP-BC

Nurse Practitioner - Primary Care • Syracuse, UT

Professional Overview & Biography Verified Profile Summary

Derek Moos, AGPCNP-BC is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Syracuse, UT. Practice services are available at 2977 WEST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2977 West
2600 South

Syracuse, UT 84075

Telephone 8016826170

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Syracuse, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Syracuse, UT (95 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: 2024-08-11
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License UT 6586693-4405

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2024

Registered at 2977 WEST, 2600 SOUTH, SYRACUSE, UT 84075 (Tel: 8016826170)

📍
Updated Business Mailing Address August 14, 2024

Registered at 2977 WEST, 2600 SOUTH, SYRACUSE, UT 84075 (Tel: 8016826170)

👤
Provider Name / Credentials Updated August 14, 2024

Recorded as DEREK MOOS, AGPCNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Nurse Practitioner (License #6586693-4405 in UT)

🟢
Initial NPI Registration & Enumeration August 14, 2024

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: 1104658749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2024
Last Update: August 14, 2024
Sole Proprietor: Yes

Mailing Address

2977 West, 2600 South

Syracuse, UT 84075

Phone: 8016826170

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.