ELIZABETH MOORE CNP
NPI 1114475019
Nurse Practitioner - Acute Care in Grand Rapids, MI
About Elizabeth Moore Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH MOORE CNP (NPI 1114475019) is an individual acute care provider in Grand Rapids, Michigan, licensed in Michigan (4704289705) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elizabeth Moore Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Elizabeth Moore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49506
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Ann Arbor, MI 48105
- Reassigned Medicare billing, Michigan enrollment
- 124 clinicians in this Medicare group
Parker, CO 80138
- Reassigned Medicare billing, Colorado enrollment
- 51 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, Colorado enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Moore's NPI number?
The NPI number for Elizabeth Moore is 1114475019. It was assigned to this individual provider in the NPPES registry on September 20, 2016.
Where is Elizabeth Moore located?
Elizabeth Moore practices at 1900 Wealthy St SE Ste 250, Grand Rapids, MI 49506. The listed phone number is (616) 774-8501.
What is Elizabeth Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Elizabeth Moore enrolled in Medicare?
Yes. Elizabeth Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Elizabeth Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Moore reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), St Mary Mercy Hospital Professional (Ann Arbor, MI), Healogics Specialty Physicians Of Colorado-Professional, LLC (Parker, CO) and Acute Care Surgery Medical Group, Inc. (Sacramento, CA). Each 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 Elizabeth Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Moore accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Elizabeth 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.
Is Elizabeth Moore affiliated with any hospitals?
According to CMS data, Elizabeth Moore is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Elizabeth Moore was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elizabeth Moore, CNP · NPI 1114475019
Acute Care physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since September 20, 2016.
## Identity
- **NPI:** 1114475019 (Entity type: Individual)
- **Enumerated:** September 20, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704289705 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 WEALTHY ST SE STE 250, Grand Rapids, MI 49506-2998
- **Phone:** (616) 774-8501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1235188673, Grand Rapids, MI); St Mary Mercy Hospital Professional (NPI 1386913705, Ann Arbor, MI); Healogics Specialty Physicians Of Colorado-Professional, LLC (NPI 1114331006, Parker, CO); Acute Care Surgery Medical Group, Inc. (NPI 1700069549, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114475019) · Data from the CMS NPPES public registry.