CANDACE MOORE NP
NPI 1285962605
Nurse Practitioner in Mequon, WI

Active since November 23, 2009
13133 N PORT WASHINGTON RD, SUITE G-18, MEQUON, WI 53097(262) 243-5000(262) 243-5026 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candace Moore Np NPPES

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

CANDACE MOORE NP (NPI 1285962605) is an individual nurse practitioner in Mequon, Wisconsin, licensed in Wisconsin (3905) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1285962605
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCANDACE MOORECredential: NP
Location Address13133 N PORT WASHINGTON RD, SUITE G-18Mequon, WI 53097-2419
Mailing Address788 N Jefferson St, Suite 300 / Attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859
Fax(262) 243-5026
Sole ProprietorNo
Enumeration DateNovember 23, 2009
Last NPPES UpdateFebruary 25, 2013
NPI 1285962605 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 WI · 3905
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.
13133 N PORT WASHINGTON RD, Mequon, WI 53097

Other Identifiers 3

Medicare PIN462100047WI
Medicare PIN736450071WI
Medicaid1285962605WI

Accepted Insurance

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.

Nurse Practitioner (Gerontology)
13133 N PORT WASHINGTON RD, SUITE 122
MEQUON, WI 53097
Specialist
13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097
Physician Assistant
13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097
Internal Medicine (Gastroenterology)
13133 N PORT WASHINGTON RD, SUITE G16
MEQUON, WI 53097
Internal Medicine (Cardiovascular Disease)
13133 N PORT WASHINGTON RD, SUITE 11
MEQUON, WI 53097
Internal Medicine
13133 N PORT WASHINGTON RD, SUITE G18
MEQUON, WI 53097
Nurse Practitioner (Adult Health)
13133 N PORT WASHINGTON RD
MEQUON, WI 53097
Pharmacy (Community/Retail Pharmacy)
13133 N PORT WASHINGTON RD, SUITE G01
MEQUON, WI 53097

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 Candace Moore's NPI number?

The NPI number for Candace Moore is 1285962605. It was assigned to this individual provider in the NPPES registry on November 23, 2009.

Where is Candace Moore located?

Candace Moore practices at 13133 N Port Washington Rd Suite G-18, Mequon, WI 53097. The listed phone number is (262) 243-5000.

What is Candace Moore's specialty?

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

What insurance does Candace Moore accept?

Health plans from Network Health list Candace 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.

When was this NPI record last updated?

The NPPES record for Candace Moore was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.