Kathryn Lee Moore, CNP
NPI 1538756507ActiveIndividual· Nurse Practitioner, Adult Health· Sioux Falls, SD
Nurse Practitioner, Adult Health (CNP) with Avera McKennan, practicing in Sioux Falls, South Dakota. Medicare paid $39,413 for services to 126 patients in 2024. Lists Avera Heart Hospital of South Dakota and 1 other hospital as hospital affiliations.
Overview
| NPI | 1538756507 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Dec 24, 2020 |
| Last updated in NPPES | Dec 24, 2020 |
| Certified by provider | Dec 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | CP001926 | SD |
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 (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 695 across 9 procedure codes |
| Paid by Medicare | $39,413 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Avera McKennanSioux Falls, SD · 959 clinicians
Hospital affiliations
- Avera Heart Hospital of South DakotaSioux Falls, SD
- Avera McKennan Hospital & University Health CenterSioux Falls, SD
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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