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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since July 22, 2021PECOS Enrolled
317 DAKOTA DUNES BLVD STE D, DAKOTA DUNES, SD 57049(605) 418-8409(605) 599-7105 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Dec 4, 2025, Jul 22, 2021 (3 updates tracked since 2021).

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 nurse practitioner 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 Taxonomy363L00000X
Provider Legal NameMRS. NICOLLE MARIE MOORECredential: NP-C
Location Address317 DAKOTA DUNES BLVD STE DDakota Dunes, SD 57049-5341
Mailing Address317 Dakota Dunes Blvd Ste DDakota Dunes, SD 57049-5341 · (605) 418-8409 · Fax (605) 599-7105
Phone(605) 418-8409
Fax(605) 599-7105
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 22, 2021
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1053984500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A164738
Definition
(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.
317 DAKOTA DUNES BLVD STE D, Dakota Dunes, SD 57049
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 3

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

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL G BARGSTADT MSPT
Physical Medicine & Rehabilitation
317 DAKOTA DUNES BLVD STE D
DAKOTA DUNES, SD 57049
Union County (605) 242-5016

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 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.

Where is Nicolle Moore located?

Nicolle Moore practices at 317 Dakota Dunes Blvd Ste D, Dakota Dunes, SD 57049. The listed phone number is (605) 418-8409.

What is Nicolle Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicolle Moore enrolled in Medicare?

Yes. Nicolle 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.

What insurance does Nicolle Moore accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, HealthPartners, Medica and Oscar Insurance Company and 1 other insurer list Nicolle 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 Nicolle Moore affiliated with any hospitals?

According to CMS data, Nicolle Moore is affiliated with Loring Hospital, Faith Regional Health Services and Dunes Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Nicolle Moore was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.