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

Tracy Ann Moe, APRNCNP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255830774

Tracy Ann Moe, APRNCNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2017, 9 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2512 S 7th St
Minneapolis, MN 55454
Phone: (612) 365-6777
Fax: (612) 365-8001
Show map & directions

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

Additional practice locations (2)

  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 273-0491
  • 909 Fulton St Se, Minneapolis, MN 55455-4800 — (612) 672-7422

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5748 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 171947-1 (MN)

Record details

NPI number1255830774
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorYes
NPI enumeratedFebruary 10, 2018
Last updated in NPPESAugust 3, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Minneapolis