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MICHAELA MARIE MOORE
NPI 1508666801
Nurse Practitioner - Family in Dublin, GA

Active since March 17, 2025PECOS Enrolled
100 HAYSTACK LN LOT G2, DUBLIN, GA 31021(478) 278-7589 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 12, 2026, Mar 17, 2025 (2 updates tracked since 2025).

About Michaela Marie Moore NPPES

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

MICHAELA MARIE MOORE (NPI 1508666801) is an individual family provider in Dublin, Georgia, licensed in Georgia (APRNNP296510) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508666801
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAELA MARIE MOORE
Location Address100 HAYSTACK LN LOT G2Dublin, GA 31021-0066
Mailing Address100 Haystack Ln Lot G2Dublin, GA 31021-0066 · (478) 278-7589
Phone(478) 278-7589
Sole ProprietorYes
Enumeration DateMarch 17, 2025
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1508666801 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 GA · APRNNP296510
100 HAYSTACK LN LOT G2, Dublin, GA 31021
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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)

Michaela Marie Moore 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 31021 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Michaela Moore's NPI number?

The NPI number for Michaela Moore is 1508666801. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Michaela Moore located?

Michaela Moore practices at 100 Haystack Ln Lot G2, Dublin, GA 31021. The listed phone number is (478) 278-7589.

What is Michaela Moore's specialty?

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

Is Michaela Moore enrolled in Medicare?

Yes. Michaela Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michaela Moore was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.