Kellyanna Moore, MD
NPI 1538120746 · Family Medicine Physician · Owatonna, MN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellyanna Moore, MD is a Family Medicine Physician provider in Owatonna, MN (NPI 1538120746).
Provider details
- NPI number
- 1538120746
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 44578 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
779 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 323 | $7 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 90 | $57 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 87 | $129 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 57 | $92 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 55 | $16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 49 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 120 | 38 |
| Lisinopril | 118 | 34 |
| Rosuvastatin Calcium | 101 | 30 |
| Levothyroxine Sodium | 82 | 24 |
| Trazodone Hcl | 77 | 20 |
| Losartan Potassium | 72 | 27 |
| Simvastatin | 70 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-29
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Frequently asked questions
- What is Kellyanna Moore's NPI number?
- Kellyanna Moore's National Provider Identifier (NPI) is 1538120746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellyanna Moore's specialty?
- Kellyanna Moore is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kellyanna Moore located?
- Kellyanna Moore's practice location on file with NPPES is 2200 Nw 26th St, Owatonna, MN 55060-5503.
- What is Kellyanna Moore's phone number?
- The practice phone number listed in the NPPES registry for Kellyanna Moore is (507) 451-1120.
- Does Kellyanna Moore accept Medicare?
- Kellyanna Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellyanna Moore's NPI active?
- Yes — Kellyanna Moore's NPI (1538120746) is active in the NPPES registry as of the last update on 2024-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.