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

Jodi Moore, PA-C

Individual provider Physician Assistant · NPI 1366412843

Jodi Moore, PA-C is a Physician Assistant in Dickinson, North Dakota. Graduated from University of North Dakota School of Medicine in 2004, 22 years ago. Practices with West River Health Services, a 19-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
22
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

47 8th St W
Dickinson, ND 58601-3951
Phone: (701) 456-3819
Fax: (701) 456-3815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0303 (ND)

Record details

NPI number1366412843
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESJuly 13, 2026
Mailing address47 8th St W, Dickinson, ND 58601-3951

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice West River Health Services — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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