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

McKenzie Larae Moor, PMHNP

Individual provider Registered Nurse · NPI 1205230950

McKenzie Larae Moor, PMHNP is a Nurse Practitioner in Williston, North Dakota. Qualified in 2021, 5 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
5
Licensed in
ND
In the registry since
2014
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1500 14th St W
Williston, ND 58801-4076
Phone: (701) 572-3335
Fax: (701) 572-3337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R40835 (ND)
Registered Nurse Taxonomy 163W00000X · Licence R40835 (ND)

Record details

NPI number1205230950
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedOctober 9, 2014
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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