Mrs Nicolle Marie Moore, NP-C - Medicare Nurse Practitioner in Dakota Dunes, SD

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Mrs Nicolle Marie Moore, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Dakota Dunes, South Dakota. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cnos Pc, Cnos Pc, Faith Regional Health Services and her current practice location is 575 N Sioux Point Rd, Dakota Dunes, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 217-2667.

Mrs Nicolle Marie Moore is licensed to practice in Iowa (license number A164738) 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 1053984500.

Contact Information

Mrs Nicolle Marie Moore, NP-C
575 N Sioux Point Rd,
Dakota Dunes, SD 57049-5312
(605) 217-2667
(605) 217-2900

Map and Direction




Provider's Profile

Full NameMrs Nicolle Marie Moore
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location575 N Sioux Point Rd, Dakota Dunes, South 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:
  • Mrs Nicolle Marie Moore graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1053984500
  • Provider Enumeration Date: 07/22/2021
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365848280
  • Enrollment ID: I20210901000930

Medical Identifiers

Medical identifiers for Mrs Nicolle Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053984500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A164738 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Loring HospitalSac city, IAHospital
Dunes Surgical HospitalDakota dunes, SDHospital
Buena Vista Regional Medical CenterStorm lake, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cnos Pc428454894297
Cnos Pc428454894297
Faith Regional Health Services89219029665

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. Mrs Nicolle Marie Moore allows following entities to bill medicare on her behalf.
Entity NameCnos Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881604320
PECOS PAC ID: 4284548942
Enrollment ID: O20031217000907

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. Mrs Nicolle Marie 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
Mrs Nicolle Marie Moore, NP-C
317 Dakota Dunes Blvd, Ste: D,
Dakota Dunes, SD 57049

Ph: (605) 418-8409		Mrs Nicolle Marie Moore, NP-C
575 N Sioux Point Rd,
Dakota Dunes, SD 57049-5312

Ph: (605) 217-2667

Reviews and Comments


Nurse Practitioner Nurses in Dakota Dunes, SD

Alexandria Lynn Kohn, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 711 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049
Phone: 712-222-7960    Fax: 472-222-7961
Ellen T Wengert, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049
Phone: 605-217-5500    Fax: 605-217-5515
Mrs. Rayna Lea Bernadine Mccormick, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049
Phone: 605-217-2667    Fax: 605-217-2900
Brooke M Buum, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049
Phone: 605-217-2667    Fax: 605-217-2900
Sandra Louise Shumaker, ACNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 921 Spyglass Cir, Cnos, Pc, Dakota Dunes, SD 57049
Phone: 712-490-8422    
Allison Faye Pedersen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049
Phone: 605-217-2667    Fax: 605-217-2900

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.