MCKENZIE LARAE MOOR PMHNP
NPI 1205230950
Nurse Practitioner - Psychiatric/Mental Health in Williston, ND

Active since October 09, 2014PECOS EnrolledAccepts Medicare Assignment
1500 14TH ST W, WILLISTON, ND 58801(701) 572-3335(701) 572-3337 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mckenzie Larae Moor Pmhnp NPPES

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

MCKENZIE LARAE MOOR PMHNP (NPI 1205230950) is an individual psychiatric/mental health provider in Williston, North Dakota, licensed in North Dakota (R40835) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205230950
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMCKENZIE LARAE MOORCredential: PMHNP
Location Address1500 14TH ST WWilliston, ND 58801-4076
Mailing Address1500 14th St WWilliston, ND 58801-4076 · (701) 572-3335 · Fax (701) 572-3337
Fax(701) 572-3337
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 9, 2014
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
NPI 1205230950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ND · R40835
Also ListedRegistered NurseTaxonomy 163W00000X · License R40835 (ND)
1500 14TH ST W, Williston, ND 58801

Accepted 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

Mckenzie Larae Moor Pmhnp 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 ID4688064058
PECOS Enrollment IDI20211130000849
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 2

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.

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.
36 services20 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.
33 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58801 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 4

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

Physical Therapist
1500 14TH ST W, SUITE 350
WILLISTON, ND 58801
Social Worker (Clinical)
1500 14TH ST W, SUITE 290
WILLISTON, ND 58801
Chiropractor
1500 14TH ST W, STE 100
WILLISTON, ND 58801
Clinic/Center (Mental Health (Including Community Mental Health Center))
1500 14TH ST W, SUITE 290
WILLISTON, ND 58801

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 Mckenzie Moor's NPI number?

The NPI number for Mckenzie Moor is 1205230950. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Where is Mckenzie Moor located?

Mckenzie Moor practices at 1500 14th St W, Williston, ND 58801. The listed phone number is (701) 572-3335.

What is Mckenzie Moor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mckenzie Moor enrolled in Medicare?

Yes. Mckenzie Moor 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 Mckenzie Moor accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Mckenzie Moor 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.

When was this NPI record last updated?

The NPPES record for Mckenzie Moor was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.