Individual provider Active NPI

Roston T. Moss, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Doral, FL
National Provider Identifier
1285304725
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11015033 Issued in FL
Practice address
3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215
Phone
(954) 324-7650
Fax
(305) 703-2202
NPI assigned
Sep 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11015033 FL Primary

Addresses

Primary practice location

3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215

Mailing address

3105 NW 107TH Ave Ste 400
Doral, FL 33172-2215
Phone (954) 324-7650

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
I20230615003038 FL Practitioner - Nurse Practitioner 2466810932 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians
Daema Pina PSYD LLCGroup PAC ID 2062806094, 6 clinicians

Practice addresses (Care Compare)

3105 NW 107TH Ave
Suite 400
Doral, FL 33172-2215
Phone (954) 324-7650

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

9220 Sunset Dr
Suite 104
Miami, FL 33173-3259
Phone (786) 724-4224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11015033FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daema Pina PSYD LLC CurrentSince May 1, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 26, 2023 Accepting new patients
South Florida Psychiatry Group, PA Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
South Florida Psychiatry Psychiatric/Mental Health PastSince Feb 1, 2022 Accepting new patients

Locations

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

8950 SW 74th Ct
Ste 2201
Miami, FL 33156
Phone (305) 238-9855

8950 SW 74th Ct
Ste 1911
Miami, FL 33156
Phone (305) 670-0641

9220 Sunset Dr
Ste 104
Miami, FL 33173
Phone (786) 724-4224

Organizations & group practices 5

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1285304725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 NW 107TH AVE STE 400",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722215",
            "telephone_number": "954-324-7650",
            "fax_number": "305-703-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 NW 107TH AVE STE 400",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722215",
            "telephone_number": "954-324-7650",
            "fax_number": "305-703-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ROSTON",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11015033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.