Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alejandra Moore, APNP

Individual provider Nurse Practitioner · NPI 1073295085

Alejandra Moore, APNP is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2023, 3 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

7401 104th Ave Ste 110
Kenosha, WI 53142-7845
Phone: (262) 764-5595
Fax: (262) 764-9314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7137 236th Ave Ste 110, Salem, WI 53168-8975 — (262) 764-5597

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14317-33 (WI)

Record details

NPI number1073295085
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address7401 104th Ave Ste 110, Kenosha, WI 53142-7845

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kenosha