MRS. MELANIE MOORE PA-C
NPI 1861024606
Physician Assistant in Plymouth, MI

Active since February 10, 2020PECOS EnrolledAccepts Medicare Assignment
41100 PLYMOUTH RD STE 110, PLYMOUTH, MI 48170(734) 715-1907(734) 715-1908 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2026, Jun 29, 2021, Apr 15, 2021 and 2 more (5 updates tracked since 2020).

About Mrs. Melanie Moore Pa-c NPPES

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

MRS. MELANIE MOORE PA-C (NPI 1861024606) is an individual physician assistant in Plymouth, Michigan, licensed in Michigan (5601010239) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Commerce Township, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861024606
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MELANIE MOORECredential: PA-C
Location Address41100 PLYMOUTH RD STE 110Plymouth, MI 48170-3895
Mailing Address41100 Plymouth Rd Ste B1-162Plymouth, MI 48170-3799 · (734) 715-1907 · Fax (734) 715-1908
Fax(734) 715-1908
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 10, 2020
Last NPPES UpdateApril 17, 20265 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1861024606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601010239
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

41100 PLYMOUTH RD STE 110, Plymouth, MI 48170

Secondary Practice Location 1

Location 12000 E Oakley Park Rd Ste 203Commerce Township, MI 48390-4318 · Phone (734) 715-1907 · Fax (734) 715-1908

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mrs. Melanie Moore Pa-c 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 ID7618364787
PECOS Enrollment IDI20220420002377
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 15

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

Psychologist (Clinical)
41100 PLYMOUTH RD STE 110
PLYMOUTH, MI 48170
Psychologist (Clinical)
41100 PLYMOUTH RD STE 110
PLYMOUTH, MI 48170
Community/Behavioral Health
41100 PLYMOUTH RD STE 110
PLYMOUTH, MI 48170
Psychologist (Clinical)
41100 PLYMOUTH RD STE 110
PLYMOUTH, MI 48170
Psychologist (Clinical)
41100 PLYMOUTH RD STE 110
PLYMOUTH, MI 48170
Counselor
41100 PLYMOUTH RD STE 110
PLYMOUTH, MI 48170
Counselor (Professional)
41100 PLYMOUTH RD STE 110
PLYMOUTH, MI 48170
Psychologist
41100 PLYMOUTH RD STE 110
PLYMOUTH, MI 48170

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 Melanie Moore's NPI number?

The NPI number for Melanie Moore is 1861024606. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Melanie Moore located?

Melanie Moore practices at 41100 Plymouth Rd Ste 110, Plymouth, MI 48170. The listed phone number is (734) 715-1907.

What is Melanie Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melanie Moore enrolled in Medicare?

Yes. Melanie 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 Melanie Moore accept?

Health plans from McLaren Health Plan Community and Priority Health list Melanie 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 Melanie Moore was last updated on April 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.