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

Jill M Moore, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1104811215

Jill M Moore, FNP-BC is a Nurse Practitioner in Vassar, Michigan. Qualified in 2002, 24 years ago. Practices with Mymichigan Medical Center Saginaw, a 110-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2005
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1212 W Saginaw Rd
Vassar, MI 48768-9483
Phone: (989) 823-5020
Fax: (989) 823-7881
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704173083 (MI)

Record details

NPI number1104811215
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mymichigan Medical Center Saginaw — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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