ELIZABETH MOORE CNP
NPI 1114475019
Nurse Practitioner - Acute Care in Grand Rapids, MI

Active since September 20, 2016PECOS EnrolledAccepts Medicare Assignment
87.59/100
CMS Quality Rating
1900 WEALTHY ST SE STE 250, GRAND RAPIDS, MI 49506(616) 774-8501 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2024, Jun 14, 2021, Sep 20, 2016 (3 updates tracked since 2016).

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

NPI1114475019
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameELIZABETH MOORECredential: CNP
Location Address1900 WEALTHY ST SE STE 250Grand Rapids, MI 49506-2998
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 20, 2016
Last NPPES UpdateJune 4, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
NPI 1114475019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704289705
1900 WEALTHY ST SE STE 250, Grand Rapids, MI 49506

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7416221247
PECOS Enrollment IDI20190520002316
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.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services18 patients

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, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

87.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.94
Improvement Activities40

Other Providers at the Same Location NPPES

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

Surgery
1900 WEALTHY ST SE STE 250
GRAND RAPIDS, MI 49506

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.

What insurance does Elizabeth Moore accept?

Health plans from 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 with the weekly NPPES data releases published by CMS.