Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Steven William Moore, PA-C

Individual provider Physician Assistant · NPI 1881269058

Steven William Moore, PA-C is a Physician Assistant in Edina, Minnesota. Qualified in 2021, 5 years ago. Practices with Advanced Brain and Body Clinic PLLC, a 4-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4010 W 65th St
Edina, MN 55435-1706
Phone: (952) 456-7000
Fax: (952) 456-7001
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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 number1881269058
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advanced Brain And Body Clinic Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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