MICHAEL MOORE
NPI 1619635117
Nurse Practitioner - Psychiatric/Mental Health in Medina, OH
About Michael Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL MOORE (NPI 1619635117) is an individual psychiatric/mental health provider in Medina, Ohio, licensed in Ohio (0030981) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Michael Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEDINA, OH 44256
MEDINA, OH 44256
MEDINA, OH 44256
MEDINA, OH 44256
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 Michael Moore's NPI number?
The NPI number for Michael Moore is 1619635117. It was assigned to this individual provider in the NPPES registry on December 1, 2021.
Where is Michael Moore located?
Michael Moore practices at 3593 Medina Rd # 181, Medina, OH 44256. The listed phone number is (330) 536-3746.
What is Michael Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Michael Moore enrolled in Medicare?
Yes. Michael Moore is registered in the Medicare PECOS enrollment system.
What insurance does Michael Moore accept?
Health plans from CareSource list Michael 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 Michael Moore was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Michael Moore · NPI 1619635117
Psychiatric/Mental Health physician in Medina, Ohio. Individual provider, active in the CMS NPPES registry since December 1, 2021.
## Identity
- **NPI:** 1619635117 (Entity type: Individual)
- **Enumerated:** December 1, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0030981 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3593 MEDINA RD # 181, Medina, OH 44256-8182
- **Phone:** (330) 536-3746
## 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:** April 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619635117) · Data from the CMS NPPES public registry.