Michael Moore
NPI 1619635117 · Psychiatric/Mental Health Nurse Practitioner · Medina, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Moore is a Psychiatric/Mental Health Nurse Practitioner provider in Medina, OH (NPI 1619635117).
Provider details
- NPI number
- 1619635117
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 478286 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sertraline Hcl | 82 | 17 |
| Risperidone | 76 | 16 |
| Clonidine Hcl | 70 | 19 |
| Divalproex Sodium | 70 | 15 |
| Olanzapine | 67 | 11 |
| Trazodone Hcl | 40 | 14 |
| Aripiprazole | 31 | — |
| Carbamazepine | 30 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2022-04-08
- Certified
- 2022-03-14
Frequently asked questions
- What is Michael Moore's NPI number?
- Michael Moore's National Provider Identifier (NPI) is 1619635117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Moore's specialty?
- Michael Moore is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Moore located?
- Michael Moore's practice location on file with NPPES is 3593 Medina Rd # 181, Medina, OH 44256-8182.
- What is Michael Moore's phone number?
- The practice phone number listed in the NPPES registry for Michael Moore is (330) 536-3746.
- Does Michael Moore accept Medicare?
- Michael Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Moore's NPI active?
- Yes — Michael Moore's NPI (1619635117) is active in the NPPES registry as of the last update on 2022-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.