SAMANTHA ELAINE MOORE RD, CD, CDCES
NPI 1003191297
Dietitian, Registered in Marshfield, WI
About Samantha Elaine Moore Rd, Cd, Cdces NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA ELAINE MOORE RD, CD, CDCES (NPI 1003191297) is an individual dietitian, registered in Marshfield, Wisconsin, licensed in Wisconsin (1059416) and active in the NPI registry since October 2011. She is affiliated with Marshfield Medical Center, maintains a secondary practice location in Wausau, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Elaine Moore Rd, Cd, Cdces is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Samantha Moore reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- 1,440 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- 1,351 clinicians in this Medicare group
Waupun, WI 53963
- Reassigned Medicare billing, Wisconsin enrollment
- 1,447 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center
Acute Care Hospitals · Marshfield, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARSHFIELD, WI 54449
MARSHFIELD, WI 54449
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samantha Moore's NPI number?
The NPI number for Samantha Moore is 1003191297. It was assigned to this individual provider in the NPPES registry on October 19, 2011.
Where is Samantha Moore located?
Samantha Moore practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 389-7464.
What is Samantha Moore's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Samantha Moore enrolled in Medicare?
Yes. Samantha Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samantha Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Moore reassigns Medicare benefits to 6 organizations: Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI), Memorial Hospital Inc (Neillsville, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Moore accept?
Health plans from Anthem Blue Cross and Blue Shield, Sanford Health Plan and Security Health Plan list Samantha Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Samantha Moore affiliated with any hospitals?
According to CMS data, Samantha Moore is affiliated with Marshfield Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Moore was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samantha Elaine Moore, RD, CD, CDCES · NPI 1003191297
Dietitian, Registered provider in Marshfield, Wisconsin. Individual provider, active in the CMS NPPES registry since October 19, 2011.
## Identity
- **NPI:** 1003191297 (Entity type: Individual)
- **Enumerated:** October 19, 2011
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 1059416 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N OAK AVE, Marshfield, WI 54449-5703
- **Phone:** (715) 389-7464
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Mchs Hospitals Inc (NPI 1093221434, Marshfield, WI); Memorial Hospital Inc (NPI 1346239373, Neillsville, WI); Lakeview Medical Center Inc Of Rice Lake (NPI 1659008605, Chetek, WI); Flambeau Hospital Inc (NPI 1194317966, Park Falls, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003191297) · Data from the CMS NPPES public registry.