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

Kaitlyn Moore

Individual provider Nurse Practitioner · NPI 1568144392

Kaitlyn Moore is a Nurse Practitioner in Hudson, Wisconsin. Qualified in 2023, 3 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

411 Stageline Rd Ste 200
Hudson, WI 54016-7848
Phone: (715) 531-6700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14280-33 (WI)

Record details

NPI number1568144392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateJuly 31, 2023
Mailing address8327 Afton Rd, Woodbury, MN 55125-9656

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 Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hudson