Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285962605 Individual Practitioner Female Practitioner

Candace Moore , NP

Nurse Practitioner • Mequon, WI

Professional Overview & Biography Verified Profile Summary

Candace Moore, NP is a registered healthcare professional specializing in Nurse Practitioner in Mequon, WI. Practice services are available at 13133 N PORT WASHINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13133 N Port Washington Rd
Suite G-18

Mequon, WI 530972419

Telephone 2622435000
Fax 2622435026
Associated Practice Facility / Clinic
🏢 North Shore Orthopaedics, Sc Facility NPI 1982705588

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mequon, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Mequon, WI (4030 Statewide)

Telehealth Adoption Rate
12.1% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 3905

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1285962605 (WI)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Camrin Dressel , PA-C

Physician Assistant

NPI 1134813751

Physician Assistant (Certified)

Dr. Deidre Faust , MD

Internal Medicine

NPI 1154372092

Doctor of Medicine (M.D.)

Dr. Scott Jorgensen , MD

Internal Medicine

NPI 1184654725

Doctor of Medicine (M.D.)

Dr. David Goldberg , MD

Internal Medicine

NPI 1285792127

Doctor of Medicine (M.D.)

Eamen Geboy , APNP

Nurse Practitioner - Adult Health

NPI 1295463743

Advanced Practice Nurse Prescriber

Dr. John Sanidas , MD

Internal Medicine

NPI 1356388359

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2013

Registered at 13133 N PORT WASHINGTON RD, SUITE G-18, MEQUON, WI 530972419 (Tel: 2622435000)

📍
Updated Business Mailing Address February 25, 2013

Registered at 788 N JEFFERSON ST, SUITE 300 / ATTN. KAAREN BUTZEN, MILWAUKEE, WI 532023718 (Tel: 4142728950)

👤
Provider Name / Credentials Updated February 25, 2013

Recorded as CANDACE MOORE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2013

Nurse Practitioner (License #3905 in WI)

🟢
Initial NPI Registration & Enumeration November 23, 2009

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: 1285962605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2009
Last Update: February 25, 2013
Sole Proprietor: No

Mailing Address

788 N Jefferson St, Suite 300 / Attn. Kaaren Butzen

Milwaukee, WI 532023718

Phone: 4142728950

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.