Jodi Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAC0303 Issued in ND

Practice address

47 8TH St W
Dickinson, ND 58601-3951

Phone

(701) 456-3819

Fax

(701) 456-3815

NPI assigned

Jan 25, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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 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

Physician Assistant

Education

University of North Dakota School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West River Health ServicesGroup PAC ID 0042127045, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West River Regional Medical Center Hospital, Hettinger, ND, CCN 351330
• Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jodimoore@wrhs.allscriptsdirect.net

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.

• West River Health Services

  dba West River Regional Medical Center

  • Critical Access Hospital
  • Hettinger, ND
  • NPI 1588763247
  Medicare reassignment Care Compare group NPD
• West River Health Services

  dba Hettinger Clinic

  • Critical Access Hospital Clinic/Center
  • Hettinger, ND
  • NPI 1174606271
  Medicare reassignment
• West River Health Services

  dba West River Foot and Ankle Center

  • Clinic/Center
  • Dickinson, ND
  • NPI 1629169008
  NPD
• West River Health Services

  dba Bowman Clinic

  • Rural Health Clinic/Center
  • Bowman, ND
  • NPI 1497856025
  NPD (past)

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

• Sanford Bismarck

  dba Sanford MRI Center

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1538245634
  Care Compare affiliation
• West River Health Services

  dba West River Ambulance

  • Land Ambulance
  • Hettinger, ND
  • NPI 1518089499

  Hospital

  Care Compare affiliation
• West River Health Services

  dba West River Regional Medical Center

  • Critical Access Hospital
  • Hettinger, ND
  • NPI 1588763247
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366412843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 8TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013951",
            "telephone_number": "701-456-3819",
            "fax_number": "701-456-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 8TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013951",
            "telephone_number": "701-456-3819",
            "fax_number": "701-456-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JODI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy G Moffett
• Sarah K Monke
• Rachel L. Monroe, DPT
• Benjamin Montgomery
• Jennifer Moore
• Charla Rae Morin
• Chelsey Morlock, OTD, OTR/L
• Brooke Victoria Morris, FNP-C
• Awna Marie Mortenson, PHARMD
• Annie Msimbe

• Physician Assistant in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.