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DR. SHANNON MOORE DNP, FNP-BC
NPI 1811687916
Nurse Practitioner - Family in Detroit, MI

Active since May 11, 2023PECOS EnrolledAccepts Medicare Assignment
3950 BEAUBIEN ST, DETROIT, MI 48201(133) 832-9330(313) 993-8685 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, May 11, 2023 (2 updates tracked since 2023).

About Dr. Shannon Moore Dnp, Fnp-bc NPPES

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

DR. SHANNON MOORE DNP, FNP-BC (NPI 1811687916) is an individual family provider in Detroit, Michigan, licensed in Michigan (470439451) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Children's Hospital Of Michigan, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811687916
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SHANNON MOORECredential: DNP, FNP-BC
Location Address3950 BEAUBIEN STDetroit, MI 48201-2166
Mailing Address3950 Beaubien StDetroit, MI 48201-2166 · (133) 832-9330
Phone(133) 832-9330
Fax(313) 993-8685
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 11, 2023
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1811687916 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 MI · 470439451
3950 BEAUBIEN ST, Detroit, MI 48201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Shannon Moore Dnp, Fnp-bc 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 ID1355701145
PECOS Enrollment IDI20230712000152
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.

Hospital Affiliations CMS Care Compare

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

Children's Hospital Of Michigan

Childrens · Detroit, MI
OwnershipProprietary
CMS Certification Number233300
Location3901 Beaubien StreetDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

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.

MRS. INES HURLEY
Nurse Practitioner (Pediatrics)
3950 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
REBECCA ROSS MS, LCGC
Genetic Counselor, MS
3950 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 832-9340
DONNA DOTSON PT
Physical Therapist
3950 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 832-8870
ALLISON LINDSEY CASBY PT, DPT
Physical Therapist
3950 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 832-8870
SAMANTHA GLOWACKI MS, LCGC
Genetic Counselor, MS
3950 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 832-9265
NANCY KNUTH CNP
Nurse Practitioner (Pediatrics)
3950 BEAUBIEN ST, GENERAL PEDIATRIC CLINIC, SPECIALTY CENTER
DETROIT, MI 48201
Wayne County (313) 832-8270
MARGARET A JOHNSON
Physical Therapist
3950 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 832-8870
DR. AMBER ROSE GASPARINI MD
Student in an Organized Health Care Education/Training Program
3950 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-7304

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 Shannon Moore's NPI number?

The NPI number for Shannon Moore is 1811687916. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Shannon Moore located?

Shannon Moore practices at 3950 Beaubien St, Detroit, MI 48201. The listed phone number is (133) 832-9330.

What is Shannon Moore's specialty?

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

Is Shannon Moore enrolled in Medicare?

Yes. Shannon 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 Shannon Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Shannon 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 Shannon Moore affiliated with any hospitals?

According to CMS data, Shannon Moore is affiliated with Children's Hospital Of Michigan.

When was this NPI record last updated?

The NPPES record for Shannon Moore was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.