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

Kati Renae Moore

Individual provider Physician Assistant · NPI 1063207348

Kati Renae Moore is a Physician Assistant in Kearney, Nebraska. Qualified in 2025, 1 year ago. Practices with CHI Health Clinic Specialty LLC, a 312-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

10 E 31st St
Kearney, NE 68847-2908
Phone: (308) 737-5284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063207348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address10 E 31st St, Kearney, NE 68847-2908

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Chi Health Clinic Specialty Llc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kearney