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

Dr. Shannon Moore, DNP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1811687916

Dr. Shannon Moore, DNP, FNP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with University Pediatricians, a 128-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3950 Beaubien St
Detroit, MI 48201-2166
Phone: (133) 832-9330
Fax: (313) 993-8685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 470439451 (MI)

Record details

NPI number1811687916
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Pediatricians — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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