Mckenzie Larae Moor, PMHNP - Medicare Nurse Practitioner in Williston, ND

Mckenzie Larae Moor, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Williston, North Dakota. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Katie Shannon Licsw Llc and her current practice location is 1500 14th St W, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 572-3335.

Mckenzie Larae Moor is licensed to practice in North Dakota (license number R40835) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205230950.

Contact Information

Mckenzie Larae Moor, PMHNP
1500 14th St W,
Williston, ND 58801-4076
(701) 572-3335
(701) 572-3337



Provider's Profile

Full NameMckenzie Larae Moor
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1500 14th St W, Williston, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mckenzie Larae Moor graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1205230950
  • Provider Enumeration Date: 10/09/2014
  • Last Update Date: 08/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688064058
  • Enrollment ID: I20211130000849

Medical Identifiers

Medical identifiers for Mckenzie Larae Moor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205230950NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R40835 (North Dakota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R40835 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Katie Shannon Licsw Llc20628024572

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mckenzie Larae Moor allows following entities to bill medicare on her behalf.
Entity NameKatie Shannon Licsw Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265091235
PECOS PAC ID: 2062802457
Enrollment ID: O20211129000427

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mckenzie Larae Moor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mckenzie Larae Moor, PMHNP
1500 14th St W,
Williston, ND 58801-4076

Ph: (701) 572-3335
Mckenzie Larae Moor, PMHNP
1500 14th St W,
Williston, ND 58801-4076

Ph: (701) 572-3335

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Nurse Practitioner Nurses in Williston, ND

Elizabeth Ann Skov, FPMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 316 2nd Ave W, Williston, ND 58801
Phone: 701-774-4600    Fax: 701-774-4620
Evonne A Hickok, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801
Phone: 701-572-7711    Fax: 701-572-2283
Mrs. Cathie Sue Henneberry, F.N.P., APRN-BC, MSN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1213 15th Ave W, Williston, ND 58801
Phone: 701-572-7651    
Nana Oforiwaa Boateng, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-774-7400    
Mrs. Temitope Mary Falade, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1213 15th Ave W, Williston, ND 58801
Phone: 701-572-7651    
Debra J. Lukenbill, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-774-7477    Fax: 701-774-7479
Lauryn Mason, RN, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 406-239-8639    

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