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LAVONNE M MOORE RNC CNM
NPI 1750348546
Nurse Practitioner in Minneapolis, MN

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55441(612) 543-2500(612) 302-4870 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lavonne M Moore Rnc Cnm NPPES

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

LAVONNE M MOORE RNC CNM (NPI 1750348546) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (R1138272) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1750348546
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAVONNE M MOORECredential: RNC CNM
Location Address1313 PENN AVENUE NORTHMinneapolis, MN 55441
Mailing Address1313 Penn Avenue NorthMinneapolis, MN 55441 · (612) 543-2500 · Fax (612) 302-4870
Phone(612) 543-2500
Fax(612) 302-4870
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 27, 2006
Last NPPES UpdateFebruary 26, 2013
✔ NPI 1750348546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · R1138272
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.
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License R113827-2 (MN)
1313 PENN AVENUE NORTH, Minneapolis, MN 55441
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Other Identifiers 3

Medicare UPINQ33286
Medicaid702615300MN
Medicare ID-Type Unspecified500002868

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lavonne M Moore Rnc Cnm 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 ID6901855717
PECOS Enrollment IDI20050119000768
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 Reassignment

Medicare enrollment records show Lavonne Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hennepin County
Same address
Federally Qualified Health Center (FQHC)
2220 PLYMOUTH AVE N
Minneapolis, MN 55411
  • Reassigned Medicare billing, Minnesota enrollment
  • 192 clinicians in this Medicare group
NPI 1215951751 (612) 543-2500

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

Hospital Affiliations CMS Care Compare

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

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 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
$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

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

MS. HEIDI J NOVAK RNC NP MSN
Nurse Practitioner
1313 PENN AVENUE NORTH
MINNEAPOLIS, MN 55441
Hennepin County (612) 543-2500

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 Lavonne Moore's NPI number?

The NPI number for Lavonne Moore is 1750348546. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Lavonne Moore located?

Lavonne Moore practices at 1313 Penn Avenue North, Minneapolis, MN 55441. The listed phone number is (612) 543-2500.

What is Lavonne Moore's specialty?

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

Is Lavonne Moore enrolled in Medicare?

Yes. Lavonne 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.

Which organization bills Medicare for Lavonne Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lavonne Moore reassigns Medicare benefits to Hennepin County (Minneapolis, MN). The 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 Lavonne Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lavonne Moore affiliated with any hospitals?

According to CMS data, Lavonne Moore is affiliated with Hennepin County Medical Center.

When was this NPI record last updated?

The NPPES record for Lavonne Moore was last updated on February 26, 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.