MICHELLE STOYANOV MOORE PA-C - NPI 1457198160 - Physician Assistant in Kentland, IN

Q: What is Michelle Moore's NPI number?

The NPI number for Michelle Moore is 1457198160. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Q: What is Michelle Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Moore was last updated on December 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Michelle Stoyanov Moore Pa-c NPPES

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

MICHELLE STOYANOV MOORE PA-C (NPI 1457198160) is an individual physician assistant in Kentland, Indiana, licensed in Indiana (10004666A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457198160

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE STOYANOV MOORECredential: PA-C

Location Address303 N 7TH STKentland, IN 47951-1379

Mailing Address303 N 7th StKentland, IN 47951-1379

Phone(219) 474-5464

Sole ProprietorNo

Enumeration DateJuly 10, 2024

Last NPPES UpdateDecember 1, 20254 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1457198160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004666A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

303 N 7TH ST, Kentland, IN 47951

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Stoyanov Moore Pa-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 47951 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 5

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

GONZALO T FLORIDO M.D.

Internal Medicine