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

Individual provider Family Medicine Physician · NPI 1992299515

Ellen Moore, MD is a Family Practice in Hudsonville, Michigan. Graduated from Michigan State University College of Human Medicine in 2018, 8 years ago. Practices with Metropolitan Hospital, a 422-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3912 32nd Ave
Hudsonville, MI 49426-8460
Phone: (616) 252-8700
Fax: (616) 252-8750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4351027347 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301115010 (MI)

Record details

NPI number1992299515
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address3912 32nd Ave, Hudsonville, MI 49426-8460

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2018 (8 years in practice)
Group practice Metropolitan Hospital — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hudsonville