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TAMMY SUE MOORE AGACNP-BC
NPI 1851972525
Nurse Practitioner - Acute Care in Midland, MI

Active since April 15, 2021PECOS Enrolled
4000 WELLNESS DR, MIDLAND, MI 48670(989) 615-2923 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Apr 15, 2021 (2 updates tracked since 2021).

About Tammy Sue Moore Agacnp-bc NPPES

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

TAMMY SUE MOORE AGACNP-BC (NPI 1851972525) is an individual acute care provider in Midland, Michigan, licensed in Michigan (4704280850) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851972525
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTAMMY SUE MOORECredential: AGACNP-BC
Location Address4000 WELLNESS DRMidland, MI 48670-9147
Mailing Address4000 Wellness DrMidland, MI 48670-9147
Phone(989) 615-2923
Sole ProprietorNo
Enumeration DateApril 15, 2021
Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1851972525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704280850
4000 WELLNESS DR, Midland, MI 48670
Open in Google Maps ↗

Other Identifiers 2

Medicaid4704280850NSA2107HMI
Other4704280850NSA2107HMI · Agacnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare), Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy Sue Moore Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tammy Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
1,004 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 48670 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

MOUSAB ETEER
Anesthesiology
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
MICHAEL DANIEL HOWSON PA-C
Physician Assistant
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
EBIN SEBASTIAN MBBS
Radiology (Radiation Oncology)
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (248) 551-3000
ALLISON ROSE BALDWIN
Student in an Organized Health Care Education/Training Program
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
GABRIEL FEATHER
Registered Nurse (Critical Care Medicine)
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
DR. BAYAN BAKIR MD
Pediatrics
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
LORI-ANN BISSELL
Speech-Language Pathologist
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
DR. ABRITA CHOWDHURY MD
Family Medicine
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3320

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 Tammy Moore's NPI number?

The NPI number for Tammy Moore is 1851972525. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Tammy Moore located?

Tammy Moore practices at 4000 Wellness Dr, Midland, MI 48670. The listed phone number is (989) 615-2923.

What is Tammy Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tammy Moore enrolled in Medicare?

Yes. Tammy Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tammy Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Moore reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Tammy Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Moore accept?

Health plans from CareSource, CareSource (Common Ground Healthcare) and Priority Health list Tammy 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 Tammy Moore was last updated on September 10, 2021. 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.