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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NUZHAT MOINUDDIN APRN CNP
NPI 1730890377
Nurse Practitioner - Family in Detroit, MI

Active since December 05, 2022PECOS Enrolled
2799 W GRAND BLVD CFP 4, DETROIT, MI 48202(313) 916-2545 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Sep 15, 2026, Dec 5, 2022 (3 updates tracked since 2022).

About Nuzhat Moinuddin Aprn Cnp NPPES

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

NUZHAT MOINUDDIN APRN CNP (NPI 1730890377) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704312654) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730890377
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNUZHAT MOINUDDINCredential: APRN CNP
Location Address2799 W GRAND BLVD CFP 4Detroit, MI 48202-2608
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 436-7936
Phone(313) 916-2545
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 5, 2022
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1730890377 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
Licenses✔ Licensed in MI · 4704312654✔ Licensed in TX · 1089422
2799 W GRAND BLVD CFP 4, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16501 Greenfield Rd Ste ADetroit, MI 48228-4780 · Phone (586) 467-2125
Location 2149 SH 121, Suite 105Coppell, TX 75019 · Phone (972) 833-7246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nuzhat Moinuddin Aprn Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395218663
PECOS Enrollment IDI20260626004781
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 Reassignments

2

Medicare enrollment records show Nuzhat Moinuddin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heal 360 Primary Care PLLC
979 mi
General Practice
2806 W FM 544
Wylie, TX 75098
  • Reassigned Medicare billing, Texas enrollment
  • 24 clinicians in this Medicare group
NPI 1588022800 (972) 226-8900
Heal 360 Urgent Care, LLC
979 mi
Family Medicine
2806 W FM 544
Wylie, TX 75098
  • Reassigned Medicare billing, Texas enrollment
  • 25 clinicians in this Medicare group
NPI 1295165967 (972) 226-8900

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 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.

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 Nuzhat Moinuddin's NPI number?

The NPI number for Nuzhat Moinuddin is 1730890377. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Nuzhat Moinuddin located?

Nuzhat Moinuddin practices at 2799 W Grand Blvd Cfp 4, Detroit, MI 48202. The listed phone number is (313) 916-2545.

What is Nuzhat Moinuddin's specialty?

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

Is Nuzhat Moinuddin enrolled in Medicare?

Yes. Nuzhat Moinuddin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nuzhat Moinuddin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nuzhat Moinuddin reassigns Medicare benefits to 2 organizations: Heal 360 Primary Care PLLC (Wylie, TX) and Heal 360 Urgent Care, LLC (Wylie, TX). Each 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 Nuzhat Moinuddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nuzhat Moinuddin accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Nuzhat Moinuddin 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 Nuzhat Moinuddin was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.