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

Mariah K Moore

Individual provider Family Nurse Practitioner · NPI 1003539388

Mariah K Moore is a Nurse Practitioner in Harrison, Michigan. Qualified in 2022, 4 years ago. Practices with Mymichigan Medical Center Clare, a 126-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022

Practice location Address checks out

815 N Clare Ave
Harrison, MI 48625-8176
Phone: (989) 539-4434
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 4704311259 (MI)

Record details

NPI number1003539388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address4000 Wellness Dr, Midland, MI 48670-2000

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 Mymichigan Medical Center Clare — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Harrison