Nicolle Marie Moore, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A164738 Issued in IA

Practice address

317 Dakota Dunes Blvd Ste D
Dakota Dunes, SD 57049-5341

Phone

(605) 418-8409

Fax

(605) 599-7105

NPI assigned

Jul 22, 2021

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Health ServicesGroup PAC ID 8921902966, 19 clinicians

Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Loring Hospital Hospital, Sac City, IA, CCN 161370
• Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089
• Faith Health Hospital, Norfolk, NE, CCN 280125

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

82.54

Promoting interoperability

89.05

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nweaver421079@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faith Regional Health Services

  dba Faith Health Professional Services

  • Emergency Medicine Physician
  • Norfolk, NE
  • NPI 1104854199

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Cnos PC

  • Orthopaedic Surgery Physician
  • Dakota Dunes, SD
  • NPI 1881604320

  IA

  Medicare reassignment Care Compare group
• Faith Regional Health Services

  dba The Pill Box

  • Community/Retail Pharmacy
  • Norfolk, NE
  • NPI 1699891465
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Siouxland Surgery Center Limited Liability Partnership

  dba Dunes Surgical Hospital

  • Special Hospital
  • Dakota Dunes, SD
  • NPI 1093714073
  Care Compare affiliation
• Faith Regional Health Services

  dba Faith Health

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation
• Loring Hospital

  • Critical Access Hospital
  • Sac City, IA
  • NPI 1144378621
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1053984500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 DAKOTA DUNES BLVD STE D",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495341",
            "telephone_number": "605-418-8409",
            "fax_number": "605-599-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 DAKOTA DUNES BLVD STE D",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495341",
            "telephone_number": "605-418-8409",
            "fax_number": "605-599-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NICOLLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A164738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlin J Milbrodt, CRNA
• Elijah Gaylen Miller, DO
• Reggie Joseph Miller, ATC
• Chad Paul Millikan
• Daniel Austin Moore, PA-C
• Alyssa D Mrsny, PA-C
• Taylor Nicole Neely, ATC, BS
• Kylie Neff
• Kevin N Negaard, ATHLETIC TRAINER
• Christy S Nelson, PT

• Nurse Practitioner in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.