Valentina Acosta-Moreno

Individual provider Active NPI Physician Assistant · Celebration, FL

NPI 1073129334 · NPPES record last updated May 22, 2024

Key facts

NPI
1073129334
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA9117001 (FL)
Practice address
410 Celebration Place
Ste 208
Celebration, FL 34747-5434
Phone
(877) 800-0239
Fax
(407) 566-2499
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLC (607 clinicians)

Practice addresses (Care Compare)

112 Park Place Blvd
Davenport, FL 33837-6857
Phone (407) 566-2229

1997 Daniels Rd
Winter Garden, FL 34787-4599
Phone (407) 566-2229

3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502

410 Celebration PL
Suite 208
Celebration, FL 34747-5434
Phone (561) 300-2410

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100 (group)
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230505002137 FL Practitioner - Physician Assistant 3577951482 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117001FLMDMedical Physician Assistant

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Womencare PA Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: valentina.acosta-moreno.1@2183.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027445 NY
Medical Physician Assistant 363AM0700X PA9117001 FL
Physician Assistant 363A00000X PA9117001 FL Yes

Addresses

Primary practice location

410 Celebration Place
Ste 208
Celebration, FL 34747-5434

Mailing address

410 Celebration Place
Ste 208
Celebration, FL 34747-5434
Phone (877) 800-0239

Other practice location 1

2209 North Boulevard West
Ste C
Davenport, FL 33837-8903
Phone (877) 800-0239

Other practice location 2

1997 Daniels Road
Winter Garden, FL 34787-4599
Phone (877) 800-0239

Other providers in Celebration, FL

All providers in Celebration, FL · Physician Assistant in Florida

Sources for this page

Verify at the official NPI Registry.