Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477641017 Individual Practitioner Female Practitioner

Cathy Shabaz Moore , PA-C

Physician Assistant • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Cathy Moore, PA-C is a registered healthcare professional specializing in Physician Assistant in Bloomington, MN. Practice services are available at 9220 JAMES AVE S STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9220 James Ave S Ste 1

Bloomington, MN 554314504

Telephone 9522345898

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
128 Specialists

Practicing in Bloomington, MN (4026 Statewide)

Telehealth Adoption Rate
24.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9909

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 02, 2022

Registered at 9220 JAMES AVE S STE 1, BLOOMINGTON, MN 554314504 (Tel: 9522345898)

📍
Updated Business Mailing Address September 02, 2022

Registered at 7993 172ND ST W, LAKEVILLE, MN 550449132 (Tel: 7633012032)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2022

Physician Assistant (License #9909 in MN)

NPI Profile Active September 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2007

Registered at 6180 MAE ANNE AVE, SUITE 1, RENO, NV 895234700 (Tel: 7753543820)

📍
Updated Business Mailing Address September 26, 2007

Registered at 1708 LAKELAND HILLS DR, RENO, NV 895231267 (Tel: 7753130207)

👤
Provider Name / Credentials Updated September 26, 2007

Recorded as CATHY MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2007

Physician Assistant (License #PA912 in NV)

🟢
Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477641017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: September 02, 2022
Sole Proprietor: No

Mailing Address

7993 172nd St W

Lakeville, MN 550449132

Phone: 7633012032

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.