Alicia Jean Moren, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10816 Issued in MN

Practice address

421 11TH St NW
Wadena, MN 56482-1044

Phone

(218) 631-3510

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 2023By 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 MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1710767694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 11TH ST NW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821044",
            "telephone_number": "218-631-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 11TH ST NW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821044",
            "telephone_number": "218-631-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREN",
        "first_name": "ALICIA",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Care
• Miracle Care (Miracle Care Hospice & Palliative Care)
• Miracle Care Dmepos (Miracle Care Services)
• Miracle Care Staffing, LLC (Miracle Care)
• Brittnee Monson, LPCC
• Jennifer Morrell, MA
• Jeff Mueller
• Neighborhood Counseling Center of Wadena, Inc.
• Jennifer Lynn Nelson, LADC
• Sarah Ness, RN

• Family Nurse Practitioner in Wadena, MN
• Providers in Wadena, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.