MR. CHARLES LEO MORAN IV MSN, APRN, FNP-C
NPI 1205506037
Nurse Practitioner - Family in Redford, MI
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
15Medicare enrollment records show Charles Moran reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Redford, MI 48239
- Reassigned Medicare billing, Michigan enrollment
- 102 clinicians in this Medicare group
Farmington Hills, MI 48336
- Reassigned Medicare billing, Michigan enrollment
- 68 clinicians in this Medicare group
Southfield, MI 48076
- Reassigned Medicare billing, Michigan enrollment
- 51 clinicians in this Medicare group
Troy, MI 48084
- Reassigned Medicare billing, Michigan enrollment
- 63 clinicians in this Medicare group
Canton, MI 48187
- Reassigned Medicare billing, Michigan enrollment
- 92 clinicians in this Medicare group
Taylor, MI 48180
- Reassigned Medicare billing, Michigan enrollment
- 129 clinicians in this Medicare group
Commerce Twp, MI 48382
- Reassigned Medicare billing, Michigan enrollment
- 89 clinicians in this Medicare group
Troy, MI 48085
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Sterling Heights, MI 48314
- Reassigned Medicare billing, Michigan enrollment
- 64 clinicians in this Medicare group
Rochester Hills, MI 48309
- Reassigned Medicare billing, Michigan enrollment
- 91 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.
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.
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 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.
Which organizations bill Medicare for Charles Moran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Moran reassigns Medicare benefits to 15 organizations: Best Urgent Care PC (Redford, MI), Farmington Hills Urgent Care Walk-In Clinic PC (Farmington Hills, MI), Doctors Urgent Care Southfield (Southfield, MI), Doctors Urgent Care Troy West PC (Troy, MI), Canton Urgent Care Walk-In Clinic PC (Canton, MI) and 10 more organizations, listed in the Medicare section above. 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 Charles Moran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Mr. Charles Leo Moran IV, MSN, APRN, FNP-C · NPI 1205506037
Family physician in Redford, Michigan. Individual provider, active in the CMS NPPES registry since September 14, 2021.
## Identity
- **NPI:** 1205506037 (Entity type: Individual)
- **Enumerated:** September 14, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704313497 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19393 DENBY, Redford, MI 48240-1663
- **Phone:** (734) 775-3747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Best Urgent Care PC (NPI 1952791105, Redford, MI); Farmington Hills Urgent Care Walk-In Clinic PC (NPI 1144956350, Farmington Hills, MI); Doctors Urgent Care Southfield (NPI 1326660929, Southfield, MI); Doctors Urgent Care Troy West PC (NPI 1790428423, Troy, MI); Canton Urgent Care Walk-In Clinic PC (NPI 1649712480, Canton, MI); and 10 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205506037) · Data from the CMS NPPES public registry.