Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821048018 Individual Practitioner Female Practitioner

Ihsin Moo , NP

Nurse Practitioner • Clarkston, MI

Professional Overview & Biography Verified Profile Summary

Ihsin Moo, NP is a registered healthcare professional specializing in Nurse Practitioner in Clarkston, MI. Practice services are available at 5701 BOW POINTE DR STE 150 under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5701 Bow Pointe Dr Ste 150

Clarkston, MI 483463198

Telephone 2489226880
Associated Practice Facility / Clinic
🏢 Kaiser Permanente Facility NPI 1073830550

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Clarkston, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Clarkston, MI (3626 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
223 211 $758.60 $105.16
99285 Emergency department visit for life threatening or functioning severity
56 55 $1234.07 $150.40
99283 Emergency department visit with low level of medical decision making
32 32 $401.19 $60.47
99291 Critical care, first 30-74 minutes
15 15 $1349.27 $183.51
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
12 12 $66.00 $6.87

Medical Specialties & State Licenses

CMS Verified: 2025-12-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704280593

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License VA 0024165531

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8955531 (VA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 09, 2025

Registered at 5701 BOW POINTE DR STE 150, CLARKSTON, MI 483463198 (Tel: 2489226880)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2025

Nurse Practitioner (License #4704280593 in MI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 275 HOSPITAL PKWY, SAN JOSE, CA 951191106 (Tel: 4089726065)

📍
Updated Business Mailing Address July 08, 2007

Registered at 275 HOSPITAL PKWY, SAN JOSE, CA 951191106

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as IHSIN MOO, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #0024165531 in VA)

🟢
Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ihsin Moo. Be the first to share your experience!

Sign in to leave a review for Ihsin Moo

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821048018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: December 09, 2025
Sole Proprietor: No

Mailing Address

275 Hospital Pkwy

San Jose, CA 951191106

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.