Nela F Ballesteros Moyano, MD
Individual provider Active NPI General Practice Physician · New Smyrna Beach, FL
NPI 1174026348 · NPPES record last updated Feb 17, 2026
Key facts
- NPI
- 1174026348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- ACN1184 (FL)
- Practice address
- 1914 State Road 44 Ste B
New Smyrna Beach, FL 32168-8345 - Phone
- (386) 428-3241
- NPI assigned
- Mar 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 Lake Emma Cove Dr
Lake Mary, FL 32746-2508
601 S Harbour Island Blvd
Suite 200
Tampa, FL 33602-5925
7100 Pines Blvd
Suite 22
Pembroke Pines, FL 33024-7355
Hospital & facility affiliations
- Adventhealth New Smyrna Beach
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200128000682 | FL | Practitioner - General Practice | 8527493212 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1184 | FL | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | General Practice | Current |
Accepting new patients |
| Florida Medical Associates LLC | Current |
Accepting new patients |
Locations
1235 Providence Blvd
Ste 7
Deltona, FL 32725
Phone (386) 473-1940
6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686
440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000
5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
4960 SW 72nd Ave
Ste 406
Miami, FL 33155
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
1914 State Road 44
Ste B
New Smyrna Beach, FL 32168
Phone (386) 428-3241
1914 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 428-3241
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | ACN1184 | FL | |
| General Practice Physician | 208D00000X | ACN1184 | FL | Yes |
Addresses
Primary practice location
1914 State Road 44 Ste B
New Smyrna Beach, FL 32168-8345
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nela.ballesteros.moyano.1@29601.direct.athenahealth.com |
Other providers in New Smyrna Beach, FL
- Joyce A Baker
- Matthew Tsampico Baker
- Pamela Sue Baker
- Madison Nicole Balbirer
- Nancy Ballard
- Laura Renninger Ballew
- Khalid Bin Ahmed Baosman
- Alexa Lee Barnett
- Kristine Bartholdson
- Rachel Bartlett Messick
All providers in New Smyrna Beach, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.