MRS. NICOLLE MARIE MOORE NP-C
NPI 1053984500
Nurse Practitioner - Family in Dakota Dunes, SD

Q: What is Nicolle Moore's NPI number?

The NPI number for Nicolle Moore is 1053984500. It was assigned to this individual provider in the NPPES registry on July 22, 2021. The provider is also known as Mrs. Nicolle Marie Weaver Np-C.

Q: What is Nicolle Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolle Moore was last updated on December 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 22, 2021PECOS EnrolledAccepts Medicare Assignment

575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049(605) 217-2667(605) 217-2900 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2025, Jul 22, 2021 (2 updates tracked since 2021).

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About Mrs. Nicolle Marie Moore Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLLE MARIE MOORE NP-C (NPI 1053984500) is an individual family provider in Dakota Dunes, South Dakota, licensed in Iowa (A164738) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Loring Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053984500

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NICOLLE MARIE MOORECredential: NP-C

Location Address575 N SIOUX POINT RDDakota Dunes, SD 57049-5312

Mailing Address317 Dakota Dunes Blvd, Ste: DDakota Dunes, SD 57049 · (605) 418-8409 · Fax (605) 599-7105

Phone(605) 217-2667

Fax(605) 217-2900

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 22, 2021

Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1053984500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A164738

575 N SIOUX POINT RD, Dakota Dunes, SD 57049

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Other Names 1

Former Name (1)Mrs. Nicolle Marie Weaver Np-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Nebraska, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nicolle Marie Moore Np-c 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.

PECOS PAC ID2365848280

PECOS Enrollment IDI20210901000930, I20250130001388

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,341 services105 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

302 services245 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

153 services97 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services57 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

43 services39 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

41 services30 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loring Hospital

Critical Access Hospitals · Sac City, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161370

Location211 Highland Avenue PO Box 217Sac City, IA 50583 · Sac County

Buena Vista Regional Medical Center

Critical Access Hospitals · Storm Lake, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161375

Location1525 West 5th StreetStorm Lake, IA 50588 · Buena Vista County

Emergency services

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280125

Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County

Emergency services Birthing friendly

Dunes Surgical Hospital

Acute Care Hospitals · Dakota Dunes, SD

OwnershipProprietary

CMS Certification Number430089

Location600 N Sioux Point RoadDakota Dunes, SD 57049 · Union County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57049 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THORIR STURLA RAGNARSSON MD

Neurological Surgery