Kaitlyn Moore, - Medicare Nurse Practitioner in Hudson, WI

Kaitlyn Moore, is a medicare enrolled "Nurse Practitioner" in Hudson, Wisconsin. Her current practice location is 411 Stageline Rd Ste 200, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 531-6700.

Kaitlyn Moore is licensed to practice in Wisconsin (license number 14280-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568144392.

Contact Information

Kaitlyn Moore,
411 Stageline Rd Ste 200,
Hudson, WI 54016-7848
(715) 531-6700
Not Available

Map and Direction




Provider's Profile

Full NameKaitlyn Moore
GenderFemale
SpecialityNurse Practitioner
Location411 Stageline Rd Ste 200, Hudson, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568144392
  • Provider Enumeration Date: 08/02/2023
  • Last Update Date: 08/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7719333186
  • Enrollment ID: I20231023000993

Medical Identifiers

Medical identifiers for Kaitlyn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568144392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 14280-33 (Wisconsin)Primary

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. Kaitlyn Moore allows following entities to bill medicare on her behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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. Kaitlyn 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
Kaitlyn Moore,
8327 Afton Rd,
Woodbury, MN 55125-9656

Ph: (651) 373-6128
Kaitlyn Moore,
411 Stageline Rd Ste 200,
Hudson, WI 54016-7848

Ph: (715) 531-6700

Reviews and Comments


Nurse Practitioner Nurses in Hudson, WI

Stacy A. Ayres, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 625 Commerce Dr Ste 200, Hudson, WI 54016
Phone: 715-377-9617    
Meghan Elizabeth Schulz, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016
Phone: 715-531-6800    Fax: 715-531-6801
Ramona N Nesse, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2310 Crest View Dr, Hudson, WI 54016
Phone: 715-531-6800    Fax: 715-531-6801
Laura Beeson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2651 Hillcrest Dr, Suite 303, Hudson, WI 54016
Phone: 715-531-6800    Fax: 715-531-6801
Marjorie Jean Belisle, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2651 Hillcrest Drive, Suite 303, Hudson, WI 54016
Phone: 715-531-6800    Fax: 715-531-6801
Liberty J Zyduck, RN, RD, NNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    
Christina Dittrich, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016
Phone: 715-531-6800    Fax: 715-531-6801

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.