Mckenzie Larae Moor, PMHNP - Medicare Nurse Practitioner in Williston, ND

  1. Home
  2. Nurse Practitioner
  3. ND
  4. Williston
Mckenzie Larae Moor, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Williston, North Dakota. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Katie Shannon Licsw Llc and her current practice location is 810 2nd St W, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 609-9494.

Mckenzie Larae Moor is licensed to practice in North Dakota (license number R40835) 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 1205230950.

Contact Information

Mckenzie Larae Moor, PMHNP
810 2nd St W,
Williston, ND 58801-5914
(701) 609-9494
(701) 901-0200

Map and Direction




Provider's Profile

Full NameMckenzie Larae Moor
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location810 2nd St W, Williston, North Dakota
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:
  • Mckenzie Larae Moor graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1205230950
  • Provider Enumeration Date: 10/09/2014
  • Last Update Date: 10/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4688064058
  • Enrollment ID: I20211130000849

Medical Identifiers

Medical identifiers for Mckenzie Larae Moor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205230950NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R40835 (North Dakota)Primary
163W00000XRegistered Nurse R40835 (North Dakota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity HospitalsMinot, NDHospital

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. Mckenzie Larae Moor allows following entities to bill medicare on her behalf.
Entity NameKatie Shannon Licsw LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265091235
PECOS PAC ID: 2062802457
Enrollment ID: O20211129000427
Entity NameMoor Mind Matters LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760366298
PECOS PAC ID: 8729579107
Enrollment ID: O20251113001351

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. Mckenzie Larae Moor 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
Mckenzie Larae Moor, PMHNP
810 2nd St W,
Williston, ND 58801-5914

Ph: (701) 609-9494		Mckenzie Larae Moor, PMHNP
810 2nd St W,
Williston, ND 58801-5914

Ph: (701) 609-9494

Reviews and Comments


Nurse Practitioner Nurses in Williston, ND

Elizabeth Ann Skov, FPMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 316 2nd Ave W, Williston, ND 58801
Phone: 701-774-4600    Fax: 701-774-4620
Evonne A Hickok, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801
Phone: 701-572-7711    Fax: 701-572-2283
Megan Robbins, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 14th St W Ste 300, Williston, ND 58801
Phone: 701-774-7082    
Mrs. Cathie Sue Henneberry, F.N.P., APRN-BC, MSN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1213 15th Ave W, Williston, ND 58801
Phone: 701-572-7651    
Nana Oforiwaa Boateng, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-774-7400    
Elizabeth Boots, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 316 2nd Ave W, Williston, ND 58801
Phone: 701-774-4600    Fax: 701-774-4620
Ms. Angela R Ekblad, NP/RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 4th Street East, Williston, ND 58801
Phone: 701-847-3771    Fax: 701-842-4025

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.