CASSANDRA MOORE CNP
NPI 1679709117
Nurse Practitioner in Rice Lake, WI

Q: What is Cassandra Moore's NPI number?

The NPI number for Cassandra Moore is 1679709117. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Q: What is Cassandra Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cassandra Moore was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 10, 2009PECOS Enrolled

94.61/100

CMS Quality Rating

1051 WEST AVE, RICE LAKE, WI 54868(715) 719-0662 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2019, Apr 1, 2016 (2 updates tracked since 2016).

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About Cassandra Moore Cnp NPPES

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

CASSANDRA MOORE CNP (NPI 1679709117) is an individual nurse practitioner in Rice Lake, Wisconsin, licensed in Wisconsin (89488) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cumberland.

NPPES Registry Identity

NPI1679709117

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCASSANDRA MOORECredential: CNP

Location Address1051 WEST AVERice Lake, WI 54868-4425

Mailing Address1051 West AveRice Lake, WI 54868-4425 · (715) 822-2231

Phone(715) 719-0662

Sole ProprietorYes

Enumeration DateJune 10, 2009

Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration

✔ NPI 1679709117 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 · 89488

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.

1051 WEST AVE, Rice Lake, WI 54868

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Secondary Practice Location 1

Location 11110 7TH AVECUMBERLAND, WI 54829-9138 · Phone (715) 822-7222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra Moore Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54868 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 16

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

BRENNA LEIGH SWEENEY OTR

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