Nicolle Marie Moore, NP-C
NPI 1053984500ActiveIndividual· Nurse Practitioner· Dakota Dunes, SD
Nurse Practitioner (NP-C) with Cnos PC and 1 other group, practicing in Dakota Dunes, South Dakota. 362 Medicare patients in 2024, $45,194 paid; all of their 783 Part D prescriptions were generic. Lists Dunes Surgical Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1053984500 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | Yes |
| NPI issued | Jul 22, 2021 |
| Last updated in NPPES | Sep 22, 2026 |
| Certified by provider | Sep 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | A164738 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IA); Practitioner - Nurse Practitioner (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 362 |
|---|---|
| Services billed | 2,564 across 38 procedure codes |
| Paid by Medicare | $45,194 |
Part D prescriptions in 2024
| Prescriptions (claims) | 783 · 933 30-day fills |
|---|---|
| Patients | 257 |
| Total drug cost | $7,730 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Cnos PCSioux City, IA · 99 clinicians
- Faith Regional Health ServicesNorfolk, NE · 20 clinicians
Hospital affiliations
- Dunes Surgical HospitalDakota Dunes, SD
- Loring HospitalSac City, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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