MICHELLE LYNN MOORE (NP) – Family Nurse Practitioner, NPI 1215581970

MICHELLE LYNN MOORE (NP) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP500019019 (DC). The NPI Number for MICHELLE LYNN MOORE (NP) is 1215581970

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE LYNN MOORE (NP)
NPI
1215581970
Phone
Not provided
Address
17731 E WARREN AVE
Enumeration Date
30 July 2019
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017690800
Graduation Year
2019 (7 years ago)
PAC ID
6204268147
Group Practice PAC ID
1951676568
Professional Enrollment ID
I20230117002357
Address ID
RI028955635WO560XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:6State licenses:8Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MICHELLE LYNN MOORE (NP)

  • East Warren Avenue, Midtown, Detroit, Wayne County, Michigan, 48236, United States

    DETROIT, MI 482241329

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191115000373INurse PractitionerMITBD
I20221006003335INurse PractitionerMDTBD
I20221109003507INurse PractitionerVATBD
I20221116002563INurse PractitionerDCTBD
I20230117002357INurse PractitionerRITBD
I20230403002472INurse PractitionerFLTBD
I20230406002671INurse PractitionerPATBD
I20230719000975INurse PractitionerSCTBD
I20240905003922INurse PractitionerDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes376367$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes249243$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes110110$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1717$0
G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic1313$0
View full utilization report →

Insurance plans in this area (ZIP 48224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951676568View full group profile

Reviews

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Frequently asked questions

Is MICHELLE LYNN MOORE (NP) listed with a National Provider Identifier?
Yes — MICHELLE LYNN MOORE (NP) has NPI 1215581970 on file in the registry.
Would MICHELLE LYNN MOORE (NP) appear as active to a payer?
You can treat MICHELLE LYNN MOORE (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MICHELLE LYNN MOORE (NP)'s focus?
For MICHELLE LYNN MOORE (NP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MICHELLE LYNN MOORE (NP) located near Detroit?
MICHELLE LYNN MOORE (NP) currently maps to Detroit, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.