MRS. ANGELIQUE DENISE MOORE (FNP-C, RN) – Family Nurse Practitioner, NPI 1477876019

MRS. ANGELIQUE DENISE MOORE (FNP-C, RN) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C, RN. They hold a License No. 4704195802 (MI). The NPI Number for MRS. ANGELIQUE DENISE MOORE (FNP-C, RN) is 1477876019

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANGELIQUE DENISE MOORE (FNP-C, RN)
NPI
1477876019
Phone
(313) 272-8450
Address
15801 W McNichols Rd
Enumeration Date
10 March 2010
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488435470
Graduation Year
1994 (32 years ago)
PAC ID
2365704814
Group Practice PAC ID
8527587088
Professional Enrollment ID
I20180320003272
Address ID
MI482212031DE18243STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MRS. ANGELIQUE DENISE MOORE (FNP-C, RN)

  • 15801 W McNichols Rd

    Detroit, MI 482353543

    Phone: (313) 272-8450

    Fax: (313) 272-8455

    Type: Location

  • 29205, Glencastle Court, Lincolnshire, Farmington Hills, Oakland County, Michigan, 48336, United States

    FARMINGTON HILLS, MI 483361416

    Phone: (248) 943-4535

    Fax: (248) 552-8144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $1,018.

Total Amount is formed as General ($1,018) + Research ($0) + Ownership ($0) = $1,018.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($306).

Total Amount

$1,018

General + Research + Ownership

Payments

35

Total payment records

General Amount

$1,018

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2018-03-20

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
I20180320003272INurse PractitionerMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4322$0
View full utilization report →

Insurance plans in this area (ZIP 48235)

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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: 8527587088View full group profile
NameSpecialtyState
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is MRS. ANGELIQUE DENISE MOORE (FNP-C, RN)'s NPI number?
MRS. ANGELIQUE DENISE MOORE (FNP-C, RN)'s NPI is 1477876019 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. ANGELIQUE DENISE MOORE (FNP-C, RN)?
You should see MRS. ANGELIQUE DENISE MOORE (FNP-C, RN) as active in CMS-hosted NPPES data.
How would a patient describe MRS. ANGELIQUE DENISE MOORE (FNP-C, RN)'s focus?
For MRS. ANGELIQUE DENISE MOORE (FNP-C, RN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. ANGELIQUE DENISE MOORE (FNP-C, RN)?
Travel planning: use Detroit, Michigan as the reference point for MRS. ANGELIQUE DENISE MOORE (FNP-C, RN), then confirm.
Does MRS. ANGELIQUE DENISE MOORE (FNP-C, RN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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