MR. CHARLES LEO MORAN IV MSN, APRN, FNP-C
NPI 1205506037
Nurse Practitioner - Family in Redford, MI

Q: What is Charles Moran's NPI number?

The NPI number for Charles Moran is 1205506037. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Q: What is Charles Moran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Moran was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 14, 2021PECOS Enrolled

19393 DENBY, REDFORD, MI 48240(734) 775-3747 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Charles Leo Moran Iv Msn, Aprn, Fnp-c NPPES

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

MR. CHARLES LEO MORAN IV MSN, APRN, FNP-C (NPI 1205506037) is an individual family provider in Redford, Michigan, licensed in Michigan (4704313497) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205506037

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CHARLES LEO MORAN IVCredential: MSN, APRN, FNP-C

Location Address19393 DENBYRedford, MI 48240-1663

Mailing Address19393 DenbyRedford, MI 48240-1663 · (734) 775-3747

Phone(734) 775-3747

Sole ProprietorYes

Enumeration DateSeptember 14, 2021

NPPES CertifiedSeptember 14, 2021

✔ NPI 1205506037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704313497

19393 DENBY, Redford, MI 48240

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Leo Moran Iv Msn, Aprn, Fnp-c 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 48240 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

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

STACEY BISHOP NP

Nurse Practitioner (Psychiatric/Mental Health)

19393 DENBY
REDFORD, MI 48240

Wayne County (702) 755-9244

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 Charles Moran's NPI number?

The NPI number for Charles Moran is 1205506037. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Charles Moran located?

Charles Moran practices at 19393 Denby, Redford, MI 48240. The listed phone number is (734) 775-3747.

What is Charles Moran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Moran enrolled in Medicare?

Yes. Charles Moran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Moran was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.