Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE LYNN MOORE NP
NPI 1215581970
Nurse Practitioner - Family in Detroit, MI

Q: What is Michelle Moore's NPI number?

The NPI number for Michelle Moore is 1215581970. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Q: What is Michelle Moore'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 Michelle Moore was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 July 30, 2019PECOS EnrolledAccepts Medicare Assignment

17731 E WARREN AVE, DETROIT, MI 48224(734) 489-9863 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 16, 2026, Mar 4, 2026, Jul 30, 2019 (3 updates tracked since 2019).

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About Michelle Lynn Moore Np NPPES

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

MICHELLE LYNN MOORE NP (NPI 1215581970) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704196541) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woonsocket, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215581970

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE LYNN MOORECredential: NP

Location Address17731 E WARREN AVEDetroit, MI 48224-1329

Mailing Address17731 E Warren AveDetroit, MI 48224-1329

Phone(734) 489-9863

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 30, 2019

Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1215581970 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

Licenses✔ Licensed in MI · 4704196541✔ Licensed in VA · 0024183753✔ Licensed in PA · SP027347✔ Licensed in FL · 11025305✔ Licensed in DC · NP500019019✔ Licensed in DE · LG0012287✔ Licensed in MD · R251830✔ Licensed in RI · APRN03417

17731 E WARREN AVE, Detroit, MI 48224

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Secondary Practice Location 1

Location 1560 Cumberland Hill RdWoonsocket, RI 02895-5635 · Phone (800) 411-6768

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community, Priority Health.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

Michelle Lynn Moore Np 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 ID6204268147

PECOS Enrollment IDI20221109003507, I20230117002357

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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

124 services121 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

62 services62 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48224 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 3

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

YOUSSEF SROUR

Pharmacist

17731 E WARREN AVE
DETROIT, MI 48224

Wayne County (313) 308-4501

AC INVESTMENT LLC

Pharmacy (Community/Retail Pharmacy)

17731 E WARREN AVE
DETROIT, MI 48224

Wayne County (313) 308-4500

EXCEL PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

17731 E WARREN AVE
DETROIT, MI 48224

Wayne County (313) 308-4500

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 Michelle Moore's NPI number?

The NPI number for Michelle Moore is 1215581970. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Where is Michelle Moore located?

Michelle Moore practices at 17731 E Warren Ave, Detroit, MI 48224. The listed phone number is (734) 489-9863.

What is Michelle Moore's specialty?

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

Is Michelle Moore enrolled in Medicare?

Yes. Michelle 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 Michelle Moore accept?

Health plans from CareSource, McLaren Health Plan Community and Priority Health list Michelle 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.

When was this NPI record last updated?

The NPPES record for Michelle Moore was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.