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

Dr. Jill M Moore, MD

Individual provider Dermatology Physician · NPI 1922260413

Dr. Jill M Moore, MD is a Dermatology in Minneapolis, Minnesota. Qualified in 2008, 18 years ago. Practices with Market Street Dermatology PC, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota and Oregon.

Years since qualifying
18
Licensed in
MN, OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

275 Market St Ste 215
Minneapolis, MN 55405-1623
Phone: (612) 746-4144
Fax: (612) 746-4149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 75778 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence MD126318 (OR)

Record details

NPI number1922260413
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address275 Market St Ste 215, Minneapolis, MN 55405-1623

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Market Street Dermatology Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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