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

Mrs. Nicolle Marie Moore, NP-C

Individual provider Family Nurse Practitioner · NPI 1053984500

Mrs. Nicolle Marie Moore, NP-C is a Nurse Practitioner in Dakota Dunes, South Dakota. Qualified in 2021, 5 years ago. Practices with Faith Regional Health Services, a 20-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
5
Licensed in
IA
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone: (605) 217-2667
Fax: (605) 217-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A164738 (IA)

Record details

NPI number1053984500
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedJuly 22, 2021
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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 Faith Regional Health Services — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Dakota Dunes