Anthony Moreno, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

80 Woodland Ave
Cocoa Beach, FL 32931-2854

Phone

(321) 768-1600

NPI assigned

May 30, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Dermatology Associates IncGroup PAC ID 1557269982, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.29 of 100Reported as group

Quality

96.89

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles (1 of 3)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Florida Dermatology Associates Inc

  • MOHS-Micrographic Surgery Physician
  • Palm Bay, FL
  • NPI 1073577136

  FL

  Medicare reassignment Care Compare group
• Internal Medicine of Brevard, PLLC

  • Internal Medicine Physician
  • Rockledge, FL
  • NPI 1003184508
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1356909964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WOODLAND AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WOODLAND AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312854",
            "telephone_number": "321-768-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Mitchell III, RMHCI
• Angela Carol Moates, LMHC
• Modern Home Health, LLC
• Dixitkumar N Modi, MD
• Charles H Mora, LMT
• Julli Ann Morgan, ARNP
• Raikeshia Chanelle Moultrie
• Colin M Muir, MD
• Rachel Murphy, R.N.
• Margaret Myers, PH.D. 7299

• All providers in Cocoa Beach, FL
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.