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

Individual provider Physician Assistant · NPI 1861024606

Mrs. Melanie Moore, PA-C is a Physician Assistant in Plymouth, Michigan. Qualified in 2020, 6 years ago. Practices with Victor M. Cruz MD, PC, a 29-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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

41100 Plymouth Rd Ste 110
Plymouth, MI 48170-3895
Phone: (734) 715-1907
Fax: (734) 715-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 E Oakley Park Rd Ste 203, Commerce Township, MI 48390-4318 — (734) 715-1907

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010239 (MI)

Record details

NPI number1861024606
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 10, 2020
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Victor M. Cruz Md, P.C. — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Plymouth