MICHELLE MARIE MOORE
NPI 1295338135
Physician Assistant - Surgical in Mesa, AZ
About Michelle Marie Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE MARIE MOORE (NPI 1295338135) is an individual surgical provider in Mesa, Arizona, licensed in Arizona (9878) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Michelle Marie Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MESA, AZ 85202
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 1295338135. It was assigned to this individual provider in the NPPES registry on November 20, 2020.
Where is Michelle Moore located?
Michelle Moore practices at 1432 S Dobson Rd Ste 304, Mesa, AZ 85202. The listed phone number is (480) 412-7400.
What is Michelle Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Michelle Moore enrolled in Medicare?
Yes. Michelle Moore is registered in the Medicare PECOS enrollment system.
What insurance does Michelle Moore accept?
Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare 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 September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Michelle Marie Moore · NPI 1295338135
Surgical physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since November 20, 2020.
## Identity
- **NPI:** 1295338135 (Entity type: Individual)
- **Enumerated:** November 20, 2020
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 9878 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1432 S DOBSON RD STE 304, Mesa, AZ 85202-4773
- **Phone:** (480) 412-7400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295338135) · Data from the CMS NPPES public registry.