McKenzie Larae Moor, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R40835 Issued in ND

Practice address

1500 14TH St W
Williston, ND 58801-4076

Phone

(701) 572-3335

Fax

(701) 572-3337

NPI assigned

Oct 9, 2014

Sex

Female

Sole proprietor

Yes

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 ND

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Katie Shannon Licsw LLCGroup PAC ID 2062802457, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Hospitals Hospital, Minot, ND, CCN 350006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Katie Shannon Licsw LLC

  dba Connect Us Therapy

  • Clinical Social Worker
  • Williston, ND
  • NPI 1265091235
  Medicare reassignment Care Compare group NPD
• Moor Mind Matters LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Williston, ND
  • NPI 1760366298

  Registered Nurse

  Medicare reassignment NPD Authorized official

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

• Trinity Hospitals

  dba Trinity Health First Response Air Ambulance

  • Air Ambulance
  • Minot, ND
  • NPI 1053502773

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  dba Community Ambulance Service, Inc.

  • Land Ambulance
  • Minot, ND
  • NPI 1134310857

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • General Acute Care Hospital
  • Minot, ND
  • NPI 1427103910
  Care Compare affiliation
• Trinity Hospitals

  dba Trinity Hospitals Residential Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Minot, ND
  • NPI 1457539660

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  dba Trinity St Joseph's CDU

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Minot, ND
  • NPI 1487804092
  Care Compare affiliation
• Trinity Hospitals

  • General Acute Care Hospital
  • Minot, ND
  • NPI 1932359544
  Care Compare affiliation

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1205230950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014076",
            "telephone_number": "701-572-3335",
            "fax_number": "701-572-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014076",
            "telephone_number": "701-572-3335",
            "fax_number": "701-572-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOR",
        "first_name": "MCKENZIE",
        "middle_name": "LARAE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R40835",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R40835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Molieri
• Sonia Monreal-Luna Martinez, LCSW
• Montgomery Counseling Service PLLC
• Christine Renee Montgomery, BA/LAC
• Moor Mind Matters LLC
• Chelsey Rae Moore, MSW,LSW
• Jason Dewitt Moore, DC
• Glenn P Moradian, MD
• Alesha M Morken, LSW
• Angele Morris

• Psychiatric/Mental Health Nurse Practitioner in Williston, ND
• Providers in Williston, ND by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.