Individual provider Active NPI

Annalise Joy Moriarty, DNP

  • Acute Care Nurse Practitioner
  • Caro, MI
National Provider Identifier
1073496337
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2024094635 Issued in MI
Practice address
1800 W Caro Rd Ste 12
Caro, MI 48723-8209
Phone
(989) 625-8399
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2024094635 MI Primary

Addresses

Primary practice location

1800 W Caro Rd Ste 12
Caro, MI 48723-8209

Mailing address

2729 Cranbrook Rd
Ann Arbor, MI 48104-6515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911004209 MI Practitioner - Nurse Practitioner 5890298236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Wound Care of Caro PC 6 clinicians
Promed Preferred Mi 2 PLLC 9 clinicians

Practice addresses (Care Compare)

1800 W Caro Rd
Suite 12
Caro, MI 48723-8209
Phone (488) 947-0242

26090 Lannys Rd
Novi, MI 48375-1022
Phone (501) 229-5803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024094635MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred Mi 2, PLLC CurrentSince Jan 21, 2026 Accepting new patients
Advanced Wound Care of Caro PC Acute Care CurrentSince Aug 1, 2025 Accepting new patients
Advanced Wound Care Specialists PC CurrentSince Dec 20, 2025 Accepting new patients

Locations

1800 W Caro Rd
Ste 12
Caro, MI 48723
Phone (248) 894-7024

1800 W Caro Rd
Caro, MI 48723
Phone (989) 625-8399

26090 Lannys Rd
Novi, MI 48375
Phone (248) 349-0300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1073496337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 CRANBROOK RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CARO RD STE 12",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487238209",
            "telephone_number": "989-625-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "ANNALISE",
        "middle_name": "JOY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "2024094635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.