Individual provider Active NPI

Kelly Frances Moss, DNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1093445843
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10201315 Issued in FL
Practice address
508 S Habana Ave Ste 160
Tampa, FL 33609-4190
Phone
(813) 708-8346
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10201315 FL Primary

Addresses

Primary practice location

508 S Habana Ave Ste 160
Tampa, FL 33609-4190

Mailing address

4550 Overlook Dr NE Apt 155
St Petersburg, FL 33703-4306
Phone (941) 448-0860

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
I20220822003161 FL Practitioner - Nurse Practitioner 3173906203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (904) 399-5550

2 Tampa General Cir
Tampa, FL 33606-3571
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10201315FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jan 13, 2026 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Jun 21, 2022 Accepting new patients
Mori Bean and Brooks Inc CurrentSince Apr 28, 2024 Accepting new patients
Unique Healthcare Systems LLC CurrentSince Apr 14, 2024 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 13, 2026 Accepting new patients
Unique Management Group PastSince Apr 14, 2024 Accepting new patients

Locations

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

508 S Habana Ave
Ste 160
Tampa, FL 33609
Phone (813) 708-8346

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1093445843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 OVERLOOK DR NE APT 155",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034306",
            "telephone_number": "941-448-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094190",
            "telephone_number": "813-708-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "KELLY",
        "middle_name": "FRANCES",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10201315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.