Individual provider Active NPI

Jill Michelle Moran

  • Psychiatric/Mental Health Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1144810235
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11020432 Issued in FL
Practice address
7795 117TH St
Seminole, FL 33772-5223
Phone
(727) 418-2120
Fax
(352) 820-4133
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 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 11020432 FL Primary

Addresses

Primary practice location

7795 117TH St
Seminole, FL 33772-5223

Mailing address

7795 117TH St
Seminole, FL 33772-5223
Phone (727) 418-2120

Other practice location 1

5585 Erindale Dr Ste 204
Colorado Springs, CO 80918-6969
Phone (720) 452-7568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, MN, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220719002892 FL Practitioner - Nurse Practitioner 0042691222 Reassigns benefits to 1 organization
I20241217003943 CO Practitioner - Nurse Practitioner 0042691222 Reassigns benefits to 1 organization
I20241218002787 MN Practitioner - Nurse Practitioner 0042691222 Reassigns benefits to 1 organization
I20250710000318 MA Practitioner - Nurse Practitioner 0042691222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020432FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 13, 2024 Accepting new patients
Grow Well Psychiatry Psychiatric/Mental Health CurrentSince Dec 21, 2025 Accepting new patients
Overcomers Counseling Psychiatric/Mental Health Past Accepting new patients
Neurospa TMS LLC PastSince Aug 23, 2020 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

Organizations & group practices 4

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": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1144810235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7795 117TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725223",
            "telephone_number": "727-418-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7795 117TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725223",
            "telephone_number": "727-418-2120",
            "fax_number": "352-820-4133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5585 Erindale Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186969",
            "country_code": "US",
            "telephone_number": "720-452-7568",
            "fax_number": "855-719-2549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JILL",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11020432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.