Kaitlyn Moore

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

14280-33 Issued in WI

Practice address

411 Stageline Rd Ste 200
Hudson, WI 54016-7848

Phone

(715) 531-6700

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By 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 MN, WI2 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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeview Hospice Hospice, Oak Park Heights, MN, CCN 241552
• Westfields Hospital and Clinic Hospital, New Richmond, WI, CCN 521345
• Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683

  WI

  Medicare reassignment Care Compare group NPD
• Group Health, Inc.

  dba HealthPartners, Hudson Clinic

  • Multi-Specialty Clinic/Center
  • Hudson, WI
  • NPI 1427420181
  NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD

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

• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic

  • Critical Access Hospital
  • Amery, WI
  • NPI 1093763518
  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic -Clear Lake Clinic

  • Rural Health Clinic/Center
  • Clear Lake, WI
  • NPI 1366878449

  Hospital

  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  dba Turtle Lake Clinic

  • Rural Health Clinic/Center
  • Turtle Lake, WI
  • NPI 1538384466

  Hospital

  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic - Luck

  • Rural Health Clinic/Center
  • Luck, WI
  • NPI 1851345268

  Hospital

  Care Compare affiliation
• Westfields Hospital, Inc.

  dba Westfields Hospital

  • Critical Access Hospital
  • New Richmond, WI
  • NPI 1881640183
  Care Compare affiliation
• Lakeview Memorial Hospital Association, Inc.

  dba Lakeview Hospice

  • Community Based Hospice Care Agency
  • Stillwater, MN
  • NPI 1245225150
  Care Compare affiliation

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1568144392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8327 AFTON RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259656",
            "telephone_number": "651-373-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STAGELINE RD STE 200",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167848",
            "telephone_number": "715-531-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14280-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Thomas Mondor, DC
• Cole Joseph Monson, COTA
• Abigail Montez, PT, DPT
• Jennifer Elaine Moon
• Maggie Jan Mooney, LPCC, LPC, LADC
• Morgan L Moravec, REGISTERED NURSE
• Move.Well, LLC (MoveWell Chiropractic)
• Taylor Ann Mueller, DNP, FNP
• Rochelle Lynn Murphy Rymer, MA
• Colette E Murphy, CCC/SLP

• Nurse Practitioner in Hudson, WI
• Providers in Hudson, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.