SANDRA J. MOORE NP
NPI 1851510366
Nurse Practitioner - Family in Pine City, MN
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 Cambridge Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Sandra Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pine City, MN 55063
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1528031390 (Minnesota)
- 146 clinicians in this Medicare group
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cambridge Medical Center
Acute Care Hospitals · Cambridge, MNAbbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNWelia Health
Critical Access Hospitals · Mora, MNPhysician 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.
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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PINE CITY, MN 55063
PINE CITY, MN 55063
PINE CITY, MN 55063
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 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.
Where is Sandra Moore located?
Sandra Moore practices at 1425 Main St N, Pine City, MN 55063. The listed phone number is (320) 629-7505.
What is Sandra Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sandra Moore enrolled in Medicare?
Yes. Sandra 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 Sandra Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Moore reassigns Medicare benefits to Welia Health (Pine City, 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 Sandra Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sandra Moore affiliated with any hospitals?
According to CMS data, Sandra Moore is affiliated with Cambridge Medical Center, Abbott Northwestern Hospital and Welia Health.
When was this NPI record last updated?
The NPPES record for Sandra Moore was last updated on November 12, 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.
# Sandra J. Moore, NP · NPI 1851510366
Family physician in Pine City, Minnesota. Individual provider, active in the CMS NPPES registry since April 24, 2007.
## Identity
- **NPI:** 1851510366 (Entity type: Individual)
- **Enumerated:** April 24, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R 181983-4 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 MAIN ST N, Pine City, MN 55063-6026
- **Phone:** (320) 629-7505 · **Fax:** (320) 629-2202
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Welia Health (NPI 1992012207, Pine City, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2007
## Record status
- **NPPES last updated:** November 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1851510366) · Data from the CMS NPPES public registry.