DR. ELIZABETH WILSON MOORE (MD) – Family Medicine Physician, NPI 1316681216

DR. ELIZABETH WILSON MOORE (MD) is a healthcare provider. based in Sterling heights, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4351049317 (MI). The NPI Number for DR. ELIZABETH WILSON MOORE (MD) is 1316681216

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH WILSON MOORE (MD)
NPI
1316681216
Phone
(248) 964-0958
Address
44250 DEQUINDRE RD
Enumeration Date
26 April 2022
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2318352088
Graduation Year
2022 (4 years ago)
PAC ID
3971990656
Group Practice PAC ID
8628964848
Professional Enrollment ID
I20250715003815
Address ID
MI496359658FR224XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:4State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. ELIZABETH WILSON MOORE (MD)

  • 44250 DEQUINDRE RD

    STERLING HEIGHTS, MI 483141002

    Phone: (248) 964-0958

    Type: Mailing

  • 224 PARK AVE

    FRANKFORT, MI 496359658

    Phone: (231) 352-2990

    Type: Mailing

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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Lilly USA, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$16
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: 2025-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250715003815IFamily PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48314)

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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: 8628964848View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Family PracticeMI
-MI
Internal Medicine, Pediatric MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What NPI should I save for DR. ELIZABETH WILSON MOORE (MD)?
Save NPI 1316681216 if you need a stable reference for DR. ELIZABETH WILSON MOORE (MD).
Is DR. ELIZABETH WILSON MOORE (MD)'s enrollment marked active?
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Does DR. ELIZABETH WILSON MOORE (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. ELIZABETH WILSON MOORE (MD). Clinical services aligned with this taxonomy classification.
Does DR. ELIZABETH WILSON MOORE (MD) practice in Michigan?
You will see Sterling Heights, Michigan on file for DR. ELIZABETH WILSON MOORE (MD) alongside any extra practice locations.
What if Sterling Heights, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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