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REBECCA RUTH MOORE
NPI 1043610033
Nurse Practitioner - Neonatal in Detroit, MI

Active since August 27, 2014PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(800) 653-6568(313) 876-1305 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Rebecca Ruth Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA RUTH MOORE (NPI 1043610033) is an individual neonatal provider in Detroit, Michigan, licensed in Michigan (4704301129) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Orion.

NPPES Registry Identity

NPI1043610033
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameREBECCA RUTH MOORE
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305
Phone(800) 653-6568
Fax(313) 876-1305
Sole ProprietorNo
Enumeration DateAugust 27, 2014
Last NPPES UpdateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1043610033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MI · 4704301129
Also ListedRegistered NurseTaxonomy 163W00000X · License 4703110355 (MI)
2799 W GRAND BLVD, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Location 1

Location 12873 Scenic Ct, Apt. 104Lake Orion, MI 48360-2370 · Phone (810) 358-7750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Ruth Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL
General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. BRENT DAVID GRIFFITH M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KANIKA KHANNA M.D
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. FADL A CHOKR M.D.
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
AVI COHEN M.D.
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
LINDSEY AURORA
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KYLE KRUPA
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ALEXANDER GARBARINO
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Moore's NPI number?

The NPI number for Rebecca Moore is 1043610033. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Rebecca Moore located?

Rebecca Moore practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (800) 653-6568.

What is Rebecca Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Rebecca Moore enrolled in Medicare?

Yes. Rebecca Moore is registered in the Medicare PECOS enrollment system.

What insurance does Rebecca Moore accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Rebecca Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca Moore was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.