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Active NPI 1750348546 Individual Practitioner Female Practitioner

Lavonne M Moore , RNC CNM

Nurse Practitioner • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lavonne Moore, RNC CNM is a certified Nurse Practitioner practicing in Minneapolis, MN. With approximately 23 years of clinical experience since completing medical education in 2003, Lavonne Moore delivers high-quality medical care to the local community at 1313 PENN AVENUE NORTH.

Lavonne Moore is affiliated with Hennepin County and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1313 Penn Avenue North

Minneapolis, MN 55441

Telephone 6125432500
Fax 6123024870
Associated Practice Facility / Clinic
🏢 Hennepin County Facility NPI 1215951751

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Minneapolis, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +10.3 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
300 Specialists

Practicing in Minneapolis, MN (2609 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (23 Years) 23 Yrs
Minneapolis Specialty Average (12.7 Years) 12.7 Yrs

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN R1138272

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Advanced Practice Midwife

NUCC Taxonomy Code: 367A00000X

State License MN R113827-2

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
702615300 (MN)

Hospital & Practice Group Affiliations

Hennepin County

1313 Penn N Ave, Minneapolis, MN 554113047

Phone: 6125432500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Joshua Sabin , PsyD, LP

Psychologist - Clinical

NPI 1013358688

Doctor of Psychology (Psy.D.), Licensed Psychologist

Lanette Howze

Community Health Worker

NPI 1013477348
Yeezong Vang , LPCC

Counselor - Professional

NPI 1043056831

Licensed Professional Clinical Counselor

NPI 1053378141

PHDLP

Ncha Xiong

Family Medicine

NPI 1053555987
Oluyomi Alowooja , LPCC

Counselor - Mental Health

NPI 1063181212

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2013

Registered at 1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55441 (Tel: 6125432500)

📍
Updated Business Mailing Address February 26, 2013

Registered at 1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55441 (Tel: 6125432500)

👤
Provider Name / Credentials Updated February 26, 2013

Recorded as LAVONNE MOORE, RNC CNM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2013

Nurse Practitioner (License #R1138272 in MN)

🟢
Initial NPI Registration & Enumeration April 27, 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: 1750348546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: February 26, 2013
Sole Proprietor: No

Mailing Address

1313 Penn Avenue North

Minneapolis, MN 55441

Phone: 6125432500

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.