Individual provider Active NPI

Nicole Taylor Mosey, PA-C

  • Physician Assistant
  • Winter Park, FL
National Provider Identifier
1225842016
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
440 W Morse Blvd
Winter Park, FL 32789-4206
Phone
(407) 895-8818
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 FL Primary

Addresses

Primary practice location

440 W Morse Blvd
Winter Park, FL 32789-4206

Mailing address

875 Outer Rd
Orlando, FL 32814-6652
Phone (407) 895-8818

Other practice location 1

875 Outer Rd
Orlando, FL 32814-6652
Phone (407) 895-8818

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
I20250313000146 FL Practitioner - Physician Assistant 2466973920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reflections Dermatology and Center for Skin Care PLLCGroup PAC ID 2062509987, 5 clinicians

Practice addresses (Care Compare)

440 W Morse Blvd
Winter Park, FL 32789-4206
Phone (407) 895-8818

875 Outer Rd
Orlando, FL 32814-6652
Phone (407) 895-8818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1225842016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OUTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-895-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894206",
            "telephone_number": "407-895-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Outer Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146652",
            "country_code": "US",
            "telephone_number": "407-895-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSEY",
        "first_name": "NICOLE",
        "middle_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.