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

Sandra J. Moore, NP

Individual provider Nurse Practitioner · NPI 1851510366

Sandra J. Moore, NP is a Nurse Practitioner in Pine City, Minnesota. Graduated from University of Cincinnati College of Medicine in 2007, 19 years ago. Practices with Welia Health, a 60-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
19
Trained at
University of Cincinnati College of Medicine
Licensed in
MN, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1425 Main St N
Pine City, MN 55063-6026
Phone: (320) 629-7505
Fax: (320) 629-2202
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R 181983-4 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 157868 (WI)

Record details

NPI number1851510366
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020
Mailing address1425 Main St N, Pine City, MN 55063-6026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Welia Health — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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