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

Michael Edwards Moon

Individual provider Acute Care Nurse Practitioner · NPI 1710601349

Michael Edwards Moon is a Nurse Practitioner in Troy, Michigan. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2022, 4 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704387584 (MI)

Record details

NPI number1710601349
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 27, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address44201 Dequindre Rd, Troy, MI 48085-1117

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Troy