KELLI MOORE
NPI 1699243204
Physician Assistant in Bingham Farms, MI
About Kelli Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI MOORE (NPI 1699243204) is an individual physician assistant in Bingham Farms, Michigan, licensed in Michigan (5601009656) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ypsilanti, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Kelli 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 48025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BINGHAM FARMS, MI 48025
BINGHAM FARMS, MI 48025
BINGHAM FARMS, MI 48025
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 Kelli Moore's NPI number?
The NPI number for Kelli Moore is 1699243204. It was assigned to this individual provider in the NPPES registry on November 13, 2018.
Where is Kelli Moore located?
Kelli Moore practices at 32270 Telegraph Rd Ste 110, Bingham Farms, MI 48025. The listed phone number is (248) 792-9496.
What is Kelli Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelli Moore enrolled in Medicare?
Yes. Kelli Moore is registered in the Medicare PECOS enrollment system.
What insurance does Kelli Moore accept?
Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Kelli 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 Kelli Moore was last updated on August 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kelli Moore · NPI 1699243204
Physician Assistant physician in Bingham Farms, Michigan. Individual provider, active in the CMS NPPES registry since November 13, 2018.
## Identity
- **NPI:** 1699243204 (Entity type: Individual)
- **Enumerated:** November 13, 2018
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5601009656 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 32270 TELEGRAPH RD STE 110, Bingham Farms, MI 48025-2456
- **Phone:** (248) 792-9496
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1699243204) · Data from the CMS NPPES public registry.