Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Katie Marie Moen, FNP-C

Individual provider Emergency Registered Nurse · NPI 1912676149

Mrs. Katie Marie Moen, FNP-C is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2021, 5 years ago. Practices with Sanford Medical Center, a 842-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
5
Licensed in
SD
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6110 S Minnesota Ave
Sioux Falls, SD 57108-2549
Phone: (605) 332-2883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1305 W 18th St, Sioux Falls, SD 57105-0401 — (605) 333-1000
  • 2100 S Marion Rd, Sioux Falls, SD 57106-3646 — (605) 322-1730

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP002201 (SD)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence R047682 (SD)

Record details

NPI number1912676149
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022

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)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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