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

Deanna Moore, FNP

Individual provider Family Nurse Practitioner · NPI 1447804752

Deanna Moore, FNP is a Nurse Practitioner in Eagan, Minnesota. Qualified in 2018, 8 years ago. Practices with Mainstreet and Kidsstreet of North Carolina PLLC, a 76-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alabama, Florida, Hawaii and Illinois and 5 more.

Years since qualifying
8
Licensed in
AL, FL, HI, IL, MO, MS
In the registry since
2019
Specialties on file
9
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 211699
Eagan, MN 55121-3699
Phone: (866) 849-0692
Fax: (888) 973-8821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 307 South Main St, Lewiston, NC 27849 — (252) 348-2545
  • 110 Western Blvd, Tarboro, NC 27886-4858 — (252) 774-4250
  • 104 Rhodes Ave, Windsor, NC 27983-9656 — (252) 734-3042

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F03190439 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024193943 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3-003110 (AL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209035995 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5940 (HI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP036433 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11049689 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2026036722 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 908619 (MS)

Record details

NPI number1447804752
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing addressPo Box 211699, Eagan, MN 55121-3699

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mainstreet And Kidsstreet Of North Carolina Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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