Individual provider Active NPI

Moesha Naissance

  • Physician Assistant
  • North Miami, FL
National Provider Identifier
1073481867
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9120674 Issued in FL
Practice address
1545 NW 127TH St
North Miami, FL 33167-2225
Phone
(786) 923-7237
NPI assigned
Oct 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9120674 FL Primary

Addresses

Primary practice location

1545 NW 127TH St
North Miami, FL 33167-2225

Mailing address

1545 NW 127TH St
North Miami, FL 33167-2225
Phone (786) 923-7237

Other practice location 1

9111 Park Dr
Miami Shores, FL 33138-3159
Phone (305) 756-6110

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
I20251229003888 FL Practitioner - Physician Assistant 8426544420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 400
Miami, FL 33133-4785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9120674FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vilmed Inc CurrentSince Nov 7, 2025 Accepting new patients
Vitalmd Group Holding LLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

9111 Park Dr
Miami Shores, FL 33138
Phone (305) 756-6110

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.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1073481867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 NW 127TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331672225",
            "telephone_number": "786-923-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NW 127TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331672225",
            "telephone_number": "786-923-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9111 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Miami Shores",
            "state": "FL",
            "postal_code": "331383159",
            "country_code": "US",
            "telephone_number": "305-756-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAISSANCE",
        "first_name": "MOESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.