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MOULTON GROUP PC
NPI 1053395798
Specialist in Monroe, MI

Active since December 06, 2005
2246 N MONROE ST, MONROE, MI 48162(734) 241-4950(734) 243-4269 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Moulton Group Pc NPPES

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

MOULTON GROUP PC (NPI 1053395798) is a healthcare organization registered as a specialist in Monroe, Michigan and active in the NPI registry since December 2005. The organization lists Paulette Patricia Moulton, Owner, as its authorized official.

NPPES Registry Identity

NPI1053395798
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOULTON GROUP PC
Location Address2246 N MONROE STMonroe, MI 48162-4254
Mailing AddressPo Box 2503Monroe, MI 48161-7503 · (734) 241-4950 · Fax (734) 243-4269
Phone(734) 241-4950
Fax(734) 243-4269
Organization SubpartNo
Authorized OfficialPaulette Patricia MoultonOwner · (734) 241-4950
Enumeration DateDecember 6, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053395798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301042774
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2246 N MONROE ST, Monroe, MI 48162
Open in Google Maps ↗

Other Identifiers 2

Other0705810691MI · Bcbs
Medicaid4893843MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moulton Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050608001122Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moulton Group PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paulette Moulton, M.D.
Dermatology
NPI 1396893137
2246 N MONROE ST
Monroe, MI 48162
(734) 241-4950
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Moulton Group PC's NPI number?

The NPI number for Moulton Group PC is 1053395798. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Moulton Group PC located?

Moulton Group PC is located at 2246 N Monroe St, Monroe, MI 48162. The listed phone number is (734) 241-4950.

What is Moulton Group PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Moulton Group PC enrolled in Medicare?

Yes. Moulton Group PC is registered in the Medicare PECOS enrollment system.

When is Moulton Group PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Moulton Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Moulton Group PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Moulton Group PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Moulton Group PC 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 Moulton Group PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.