Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacqueline McClellan Moore, DO

Individual provider Internal Medicine Physician · NPI 1437319407

Dr. Jacqueline McClellan Moore, DO is a Hospitalist in Traverse City, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2008, 18 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1105 Sixth St
Traverse City, MI 49684-2349
Phone: (231) 935-5800
Fax: (231) 935-5885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 Pavilions Cir, Traverse City, MI 49684-3198 — (231) 932-3000
  • 550 Munson Ave, Traverse City, MI 49686-3580 — (231) 935-6520

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101017571 (MI)

Record details

NPI number1437319407
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2008
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address10850 E Traverse Hwy, Ste 4400, Traverse City, MI 49684-1364

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2008 (18 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Traverse City