Individual provider Active NPI

Jacara Danielle Mosley Lee, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, FL
National Provider Identifier
1063210185
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11037237 Issued in FL
Practice address
469 W Base St
Madison, FL 32340-2064
Phone
(850) 973-1402
Fax
(850) 973-1450
NPI assigned
Mar 5, 2025
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11037237 FL Primary

Addresses

Primary practice location

469 W Base St
Madison, FL 32340-2064

Mailing address

2804 Remington Green Cir Ste 2
Tallahassee, FL 32308-1550
Phone (850) 385-4494

Other identifiers 1

IdentifierTypeStateIssuer
126459200MedicaidFL

Other names 1

  • Jacara Danielle Mosley-Lee Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516000358 FL Practitioner - Nurse Practitioner 9133647803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11037237FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince May 1, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 1, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients

Locations

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1616 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-5105

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1063210185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-385-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W BASE ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402064",
            "telephone_number": "850-973-1402",
            "fax_number": "850-973-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY LEE",
        "first_name": "JACARA",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11037237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126459200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACARA",
            "last_name": "MOSLEY-LEE",
            "middle_name": "DANIELLE",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

Verify at the official NPI Registry.