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

Michelle Stoyanov Moore, PA-C

Individual provider Physician Assistant · NPI 1457198160

Michelle Stoyanov Moore, PA-C is a Physician Assistant in Kentland, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

303 N 7th St
Kentland, IN 47951-1379
Phone: (219) 474-5464
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004666A (IN)

Record details

NPI number1457198160
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025