COURTNEY JEAN MOORE APRN, CNM
NPI 1649651639
Advanced Practice Midwife in Saint Paul, MN

Q: What is Courtney Moore's NPI number?

The NPI number for Courtney Moore is 1649651639. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Q: What is Courtney Moore's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Moore was last updated on November 9, 2020. 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.

Active since June 15, 2015PECOS Enrolled

2635 UNIVERSITY AVE W, SAINT PAUL, MN 55114(651) 254-3500 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Courtney Jean Moore Aprn, Cnm NPPES

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

COURTNEY JEAN MOORE APRN, CNM (NPI 1649651639) is an individual advanced practice midwife in Saint Paul, Minnesota, licensed in Minnesota (CNM 0268) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1649651639

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameCOURTNEY JEAN MOORECredential: APRN, CNM

Location Address2635 UNIVERSITY AVE WSaint Paul, MN 55114-1270

Mailing Address2606 Chicago AveMinneapolis, MN 55407-3706 · (612) 545-5311 · Fax (612) 224-9622

Phone(651) 254-3500

Sole ProprietorNo

Enumeration DateJune 15, 2015

Last NPPES UpdateNovember 9, 2020

NPPES CertifiedNovember 9, 2020

✔ NPI 1649651639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in MN · CNM 0268

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

2635 UNIVERSITY AVE W, Saint Paul, MN 55114

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Secondary Practice Location 1

Location 12606 Chicago AveMinneapolis, MN 55407-3706 · Phone (612) 545-5311 · Fax (612) 224-9622

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Jean Moore Aprn, Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Courtney Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.

1.3 mi

Oral and Maxillofacial Surgery

2500 COMO AVE
Saint Paul, MN 55108

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1225629017 (651) 647-2500

Healtheast Medical Research Institute

1.9 mi

Internal Medicine

1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104

Reassigned Medicare billing, Minnesota enrollment
2,361 clinicians in this Medicare group

NPI 1508191552 (651) 232-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55114 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

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 9

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

CYDNEY BULGER ANP

Nurse Practitioner

2635 UNIVERSITY AVE W, STE 100
SAINT PAUL, MN 55114

Ramsey County (651) 603-7300

SANDRA L GIOVINAZZO-YATES PA

Physician Assistant

2635 UNIVERSITY AVE W, SUITE 100
SAINT PAUL, MN 55114

Ramsey County (651) 603-7450

OMER SANAN MD

Surgery

2635 UNIVERSITY AVE W, SUITE 100B
SAINT PAUL, MN 55114

Ramsey County (651) 241-9300

KATIE J KRUMWIEDE MD

Obstetrics & Gynecology

2635 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (651) 254-3500

SUDHA M CHADALAWADA MD

Family Medicine

2635 UNIVERSITY AVE W, MAIL STOP 13901B SUITE 160
SAINT PAUL, MN 55114

Ramsey County (651) 254-3500

JOHN E SANDGREN MD

Internal Medicine (Gastroenterology)

2635 UNIVERSITY AVE W, SUITE 100
SAINT PAUL, MN 55114

Ramsey County (651) 241-9300

SARAH YAMAGUCHI M.D.

Internal Medicine

2635 UNIVERSITY AVE W, SUITE 160
SAINT PAUL, MN 55114

Ramsey County (651) 254-5800

GROUPHEALTH PLAN INC

Durable Medical Equipment & Medical Supplies

2635 UNIVERSITY AVE W, WESTGATE III BUILDING, SUITE 160
SAINT PAUL, MN 55114

Ramsey County (952) 883-7469

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 Courtney Moore's NPI number?

The NPI number for Courtney Moore is 1649651639. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Courtney Moore located?

Courtney Moore practices at 2635 University Ave W, Saint Paul, MN 55114. The listed phone number is (651) 254-3500.

What is Courtney Moore's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Courtney Moore enrolled in Medicare?

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

Which organizations bill Medicare for Courtney Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Moore reassigns Medicare benefits to 2 organizations: Group Health, Inc. (Saint Paul, MN) and Healtheast Medical Research Institute (Saint Paul, 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 Courtney 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 Courtney Moore was last updated on November 9, 2020. 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.