Mariah K Moore
Individual provider Active NPI Family Nurse Practitioner · Harrison, MI
NPI 1003539388 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1003539388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704311259 (MI)
- Practice address
- 815 N Clare Ave
Harrison, MI 48625-8176 - Phone
- (989) 539-4434
- NPI assigned
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mymichigan Medical Center Clare
Practice addresses (Care Compare)
602 Beech St
Clare, MI 48617-1466
Phone (989) 802-5117
815 N Clare Ave
Suite a
Harrison, MI 48625-8177
Phone (989) 539-4434
Hospital & facility affiliations
- Mymichigan Medical Center Clare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221024001014 | MI | Practitioner - Nurse Practitioner | 6800262494 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Clare | Current |
Accepting new patients | |
| Mymichigan Medical Center Clare | Current |
Accepting new patients | |
| Mymichigan Medical Center Clare | Past | Accepting new patients |
Locations
700 W 5th St
Clare, MI 48617
Phone (989) 386-9911
815 N Clare Ave
Ste A
Harrison, MI 48625
Phone (989) 539-4434
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704311259 | MI | Yes |
Addresses
Primary practice location
815 N Clare Ave
Harrison, MI 48625-8176
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000
Other names
- Mariah K Drogt
Other providers in Harrison, MI
- Stephen C McClintic
- Mitchell L. McMillan
- Mid-Michigan Recovery Center
- Midmichigan Health Services
- Michael Gene Mikolaizyk
- Mymichigan Medical Center Clare
- Mymichigan Medical Center Clare
- Matthew Myzienski
- Daniel John Nelson
- Danielle Nelson
All providers in Harrison, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.