Sandra J Moore, NP - Medicare Nurse Practitioner in Pine City, MN

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Sandra J Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Pine City, Minnesota. She went to University Of Cincinnati College Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Welia Health and her current practice location is 1425 Main St N, Pine City, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 629-7505.

Sandra J Moore is licensed to practice in Minnesota (license number R 181983-4) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851510366.

Contact Information

Sandra J Moore, NP
1425 Main St N,
Pine City, MN 55063-6026
(320) 629-7505
(320) 629-2202

Map and Direction




Provider's Profile

Full NameSandra J Moore
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location1425 Main St N, Pine City, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sandra J Moore attended and graduated from University Of Cincinnati College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1851510366
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 11/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991803082
  • Enrollment ID: I20080722000007

Medical Identifiers

Medical identifiers for Sandra J Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851510366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 157868 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family R 181983-4 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Firstlight Health SystemMora, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Welia Health670929549652

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sandra J Moore allows following entities to bill medicare on her behalf.
Entity NameCounty Of Kanabec
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528031390
PECOS PAC ID: 0648187237
Enrollment ID: O20031125000660
Entity NameWelia Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528031390
PECOS PAC ID: 6709295496
Enrollment ID: O20220125001227

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra J Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sandra J Moore, NP
1425 Main St N,
Pine City, MN 55063-6026

Ph: (320) 629-7505		Sandra J Moore, NP
1425 Main St N,
Pine City, MN 55063-6026

Ph: (320) 629-7505

Reviews and Comments


Nurse Practitioner Nurses in Pine City, MN

Melinda Margaret Mckay, DNP, APRN, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1425 Main St N, Pine City, MN 55063
Phone: 320-629-7505    Fax: 320-225-3507
Kathryn Marvin, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Evergreen Sq Sw, Pine City, MN 55063
Phone: 320-629-6721    
Shannon Marie Olson, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 410 4th Ave Ne, Pine City, MN 55063
Phone: 320-310-5166    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.