SANDRA J. MOORE NP
NPI 1851510366
Nurse Practitioner - Family in Pine City, MN

Q: What is Sandra Moore's NPI number?

The NPI number for Sandra Moore is 1851510366. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Sandra Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Moore was last updated on November 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment

1425 MAIN ST N, PINE CITY, MN 55063(320) 629-7505(320) 629-2202 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sandra J. Moore Np NPPES

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

SANDRA J. MOORE NP (NPI 1851510366) is an individual family provider in Pine City, Minnesota, licensed in Minnesota (R 181983-4) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Welia Health, and is a graduate of University Of Cincinnati College Of Medicine (2007).

NPPES Registry Identity

NPI1851510366

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANDRA J. MOORECredential: NP

Location Address1425 MAIN ST NPine City, MN 55063-6026

Mailing Address1425 Main St NPine City, MN 55063-6026 · (320) 629-7505 · Fax (320) 629-2202

Phone(320) 629-7505

Fax(320) 629-2202

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2007

Enumeration DateApril 24, 2007

Last NPPES UpdateNovember 12, 2020

NPPES CertifiedNovember 12, 2020

✔ NPI 1851510366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · R 181983-4

Also ListedNurse PractitionerTaxonomy 363L00000X · License 157868 (WI)

1425 MAIN ST N, Pine City, MN 55063

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Sandra J. Moore Np 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 ID5991803082

PECOS Enrollment IDI20080722000007

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.

Hospital Affiliations CMS Care Compare

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

Welia Health

Critical Access Hospitals · Mora, MN

OwnershipGovernment - Local

CMS Certification Number241367

Location301 South Highway 65Mora, MN 55051 · Kanabec County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55063 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers24 claims61 services$6.15 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers16 claims16 services$184.98 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

KRISTEN CHRISTOPHERSON ATC

Specialist/Technologist (Athletic Trainer)