Daniel Austin Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1292 Issued in SD

Practice address

345 W Steamboat Dr
Dakota Dunes, SD 57049-5333

Phone

(605) 217-5617

NPI assigned

Jan 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, SD2 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

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sage Medical Prof LLCGroup PAC ID 4385992619, 15 clinicians

Vascular and Interventional Radiology of SiouxlandGroup PAC ID 7113330663, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Merit-based Incentive Payment System (MIPS)

Final score

92.04 of 100Reported as group

Quality

82.85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: daniel.moore.p20@direct.trinity-healthiowa.nextgenshare.com

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

• Sage Medical Prof LLC

  • Vascular Surgery Physician
  • Dakota Dunes, SD
  • NPI 1588156657

  SD

  Medicare reassignment Care Compare group
• Vascular & Interventional Radiology of Siouxland

  • Vascular Surgery Physician
  • Dakota Dunes, SD
  • NPI 1225636129

  SD

  Medicare reassignment Care Compare group
• Sioux City Hospitalist Group, LLC

  • Hospitalist Physician
  • Sioux City, IA
  • NPI 1427789148

  IA

  Medicare reassignment
• Woodbury Emergency Group, PC

  • Emergency Medicine Physician
  • Sioux City, IA
  • NPI 1447813316

  IA

  Medicare reassignment

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

• Northwest Iowa Hospital Corporation

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1154710077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W STEAMBOAT DR STE 601",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495287",
            "telephone_number": "605-217-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W STEAMBOAT DR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495333",
            "telephone_number": "605-217-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DANIEL",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-15",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "076565",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midlands Clinic, P.C.
• Arlin J Milbrodt, CRNA
• Elijah Gaylen Miller, DO
• Reggie Joseph Miller, ATC
• Chad Paul Millikan
• Nicolle Marie Moore, NP-C
• Alyssa D Mrsny, PA-C
• Taylor Nicole Neely, ATC, BS
• Kylie Neff
• Kevin N Negaard, ATHLETIC TRAINER

• Physician Assistant in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.