DR. KYLE THOMAS MOORE DC
NPI 1235711011
Chiropractor in Sun Prairie, WI
About Dr. Kyle Thomas Moore Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE THOMAS MOORE DC (NPI 1235711011) is an individual chiropractor in Sun Prairie, Wisconsin, licensed in Wisconsin (5652-12) and active in the NPI registry since April 2021. He is a graduate of Life Chiropractic College (2021).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kyle Thomas Moore Dc 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
3Medicare enrollment records show Kyle Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sun Prairie, WI 53590
- Reassigned Medicare billing, Wisconsin enrollment
- 6 clinicians in this Medicare group
Ellsworth, WI 54011
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 4 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 29 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kyle Moore's NPI number?
The NPI number for Kyle Moore is 1235711011. It was assigned to this individual provider in the NPPES registry on April 22, 2021.
Where is Kyle Moore located?
Kyle Moore practices at 1777 W Main St, Sun Prairie, WI 53590. The listed phone number is (608) 318-2410.
What is Kyle Moore's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kyle Moore enrolled in Medicare?
Yes. Kyle 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 Kyle Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Moore reassigns Medicare benefits to 3 organizations: Pro Health Chiropractic LLC (Sun Prairie, WI), Gregory W Bernard Dc PA (Ellsworth, WI) and Life Clinic, P.A. (St Louis Park, MN). 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 Kyle Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyle Moore was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kyle Thomas Moore, DC · NPI 1235711011
Chiropractor provider in Sun Prairie, Wisconsin. Individual provider, active in the CMS NPPES registry since April 22, 2021.
## Identity
- **NPI:** 1235711011 (Entity type: Individual)
- **Enumerated:** April 22, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5652-12 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1777 W MAIN ST, Sun Prairie, WI 53590-3100
- **Phone:** (608) 318-2410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pro Health Chiropractic LLC (NPI 1669630562, Sun Prairie, WI); Gregory W Bernard Dc PA (NPI 1245617687, Ellsworth, WI); Life Clinic, P.A. (NPI 1023296167, St Louis Park, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2021
## Record status
- **NPPES last updated:** May 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1235711011) · Data from the CMS NPPES public registry.