DR. KATHRYN ROSE MOORE MD
NPI 1689850794
Internal Medicine - Hematology & Oncology in St Louis Park, MN

Active since January 18, 2008PECOS EnrolledAccepts Medicare Assignment
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 993-2750 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathryn Rose Moore Md NPPES

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

DR. KATHRYN ROSE MOORE MD (NPI 1689850794) is an individual hematology & oncology provider in St Louis Park, Minnesota, licensed in Oregon (MD154557) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1689850794
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. KATHRYN ROSE MOORECredential: MD
Location Address3931 LOUISIANA AVE SSt Louis Park, MN 55426-5000
Mailing Address3931 Louisiana Ave SSt Louis Park, MN 55426-5000 · (952) 993-2750
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 18, 2008
Last NPPES UpdateJanuary 8, 2014
NPI 1689850794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in OR · MD154557
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125050108 (IL)
3931 LOUISIANA AVE S, St Louis Park, MN 55426

Other Names 1

Former Name (1)Dr. Kathryn Rose Shell Md

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathryn Rose Moore Md 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.

PECOS PAC ID4082887021
PECOS Enrollment IDI20140331001751
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
346 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
189 services69 patients
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg Q5111
Pegfilgrastim-cbqv (Udenyca) is a medication given via injection to stimulate the growth of white blood cells, which help your body fight infections. It's often used for patients undergoing certain types of chemotherapy.
156 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services60 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
77 services47 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
73 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Counselor (Professional)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Physician Assistant
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Nurse Practitioner (Family)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

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 Kathryn Moore's NPI number?

The NPI number for Kathryn Moore is 1689850794. It was assigned to this individual provider in the NPPES registry on January 18, 2008. The provider is also known as Dr. Kathryn Rose Shell MD.

Where is Kathryn Moore located?

Kathryn Moore practices at 3931 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 993-2750.

What is Kathryn Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kathryn Moore enrolled in Medicare?

Yes. Kathryn 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.

What insurance does Kathryn Moore accept?

Health plans from HealthPartners and Medica list Kathryn 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.

Is Kathryn Moore affiliated with any hospitals?

According to CMS data, Kathryn Moore is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Moore was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.