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

Q: 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.

Q: What is Michaela 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 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 5 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.

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: October 18, 2026.

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

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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 and is a graduate of Other (2024).

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

Medical School CMSOtherGraduated 2024

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela Marie Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567920838

PECOS Enrollment IDI20260817003462

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.

Medicare Billing Reassignment

Medicare enrollment records show Michaela Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Compassus Op Of Georgia II LLC

51 mi

Hospice and Palliative Medicine

1000 NORTHSIDE XING
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
7 clinicians in this Medicare group

NPI 1053877993 (770) 218-1997

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 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.

Which organization bills Medicare for Michaela Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Moore reassigns Medicare benefits to Compassus Op Of Georgia II LLC (Macon, GA). The 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 Michaela Moore'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 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 5 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.