Individual provider Active NPI

Yanesa Gomez Moreno, APRN

  • Family Nurse Practitioner
  • Saint Cloud, FL
National Provider Identifier
1134084528
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11044317 Issued in FL
Practice address
4171 Malawi TRL
Saint Cloud, FL 34772-6421
Phone
(407) 443-5007
NPI assigned
Dec 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 APRN11044317 FL Primary

Addresses

Primary practice location

4171 Malawi TRL
Saint Cloud, FL 34772-6421

Mailing address

4171 Malawi TRL
Saint Cloud, FL 34772-6421
Phone (407) 443-5007

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
I20260518003572 FL Practitioner - Nurse Practitioner 8224507389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services LLCGroup PAC ID 1759705148, 30 clinicians
Nova Medical Services - Wound Care Division LLCGroup PAC ID 6709280324, 35 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11044317FLMDFamily Nurse Practitioner

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": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1134084528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 MALAWI TRL",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726421",
            "telephone_number": "407-443-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 MALAWI TRL",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726421",
            "telephone_number": "407-443-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ MORENO",
        "first_name": "YANESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11044317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.