Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients101
Services billed 957 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Advantage Physical Therapy and Sports Rehab, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 286 clinicians in the practice; 12 are shown here.

Other providers in Kenosha