HOLLY S MOORE
NPI 1649616525
Nurse Practitioner - Adult Health in Detroit, MI

Active since May 17, 2013PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
5200 ANTHONY WAYNE DR, SUITE 115, DETROIT, MI 48202(313) 577-5041 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly S Moore NPPES

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

HOLLY S MOORE (NPI 1649616525) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (4704222396) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1649616525
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHOLLY S MOORE
Location Address5200 ANTHONY WAYNE DR, SUITE 115Detroit, MI 48202-3945
Mailing Address5200 Anthony Wayne Dr, Suite 115Detroit, MI 48202-3945
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 17, 2013
NPI 1649616525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MI · 4704222396
5200 ANTHONY WAYNE DR, Detroit, MI 48202

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 and accepts Medicare assignment

Holly S Moore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446571848
PECOS Enrollment IDI20150611000324
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
135 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
5200 ANTHONY WAYNE DR, STE 115
DETROIT, MI 48202
Nurse Practitioner
5200 ANTHONY WAYNE DR, SUITE 115
DETROIT, MI 48202
Nurse Practitioner (Family)
5200 ANTHONY WAYNE DR, SUITE 115
DETROIT, MI 48202
Nurse Practitioner (Adult Health)
5200 ANTHONY WAYNE DR, SUITE 115
DETROIT, MI 48202

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 Holly Moore's NPI number?

The NPI number for Holly Moore is 1649616525. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Where is Holly Moore located?

Holly Moore practices at 5200 Anthony Wayne Dr Suite 115, Detroit, MI 48202. The listed phone number is (313) 577-5041.

What is Holly Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Holly Moore enrolled in Medicare?

Yes. Holly Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly Moore accept?

Health plans from Priority Health list Holly 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.

Is Holly Moore affiliated with any hospitals?

According to CMS data, Holly Moore is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Holly Moore was last updated on May 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.