KRISTA MOORE LICSW
NPI 1467322768
Social Worker - Clinical in Owatonna, MN

Active since November 11, 2025PECOS Enrolled
2575 HARVEST LN, OWATONNA, MN 55060(507) 446-0431(507) 446-8014 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krista Moore Licsw NPPES

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

KRISTA MOORE LICSW (NPI 1467322768) is an individual clinical provider in Owatonna, Minnesota, licensed in Minnesota (21441) and active in the NPI registry since November 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467322768
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameKRISTA MOORECredential: LICSW
Location Address2575 HARVEST LNOwatonna, MN 55060-4305
Mailing Address2575 Harvest LnOwatonna, MN 55060-4305 · (507) 446-0431 · Fax (507) 446-8014
Fax(507) 446-8014
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
NPI 1467322768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 21441
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2575 HARVEST LN, Owatonna, MN 55060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Krista Moore Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436641057
PECOS Enrollment IDI20251121001500
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55060 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 14

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

Social Worker (Clinical)
2575 HARVEST LN
OWATONNA, MN 55060
Social Worker (Clinical)
2575 HARVEST LN
OWATONNA, MN 55060
Counselor (Mental Health)
2575 HARVEST LN
OWATONNA, MN 55060
Case Management
2575 HARVEST LN
OWATONNA, MN 55060
Case Management
2575 HARVEST LN
OWATONNA, MN 55060
Marriage & Family Therapist
2575 HARVEST LN
OWATONNA, MN 55060
Nurse Practitioner (Psychiatric/Mental Health)
2575 HARVEST LN
OWATONNA, MN 55060
Social Worker (Clinical)
2575 HARVEST LN
OWATONNA, MN 55060

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 Krista Moore's NPI number?

The NPI number for Krista Moore is 1467322768. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Krista Moore located?

Krista Moore practices at 2575 Harvest Ln, Owatonna, MN 55060. The listed phone number is (507) 446-0431.

What is Krista Moore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Krista Moore enrolled in Medicare?

Yes. Krista Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krista Moore was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.