Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julie L Moore, PA-C

Individual provider Physician Assistant · NPI 1477888998

Julie L Moore, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2009, 17 years ago. Practices with Addiction Treatment Services Inc, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
17
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4624 N Spider Lake Rd
Traverse City, MI 49696-8440
Phone: (231) 947-0673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477888998
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2009
Last updated in NPPESOctober 29, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Addiction Treatment Services Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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