Active NPI
Renata Araujo Moen, APRN
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9316187
- Practice address
- 14540 Old Saint Augustine Rd Ste 2403
Jacksonville, FL 32258-7418 - Phone
- (904) 253-6910
- Fax
- (904) 253-6964
- NPI assigned
- Jan 24, 2017
- Last updated
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9316187 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN9316187 | FL | Primary |
Addresses
Primary practice location
14540 Old Saint Augustine Rd Ste 2403
Jacksonville, FL 32258-7418
Mailing address
1443 San Marco Blvd Ste 101
Jacksonville, FL 32207-8535
Phone (904) 253-6910
Other practice location 1
1443 San Marco Blvd Ste 101
Jacksonville, FL 32207-8535
Phone (904) 253-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101594800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1325 San Marco Blvd
Jacksonville, FL 32207-8568
Phone (904) 253-6910
325 Clyde Morris Blvd
Suite 390
Ormond Beach, FL 32174-8179
Phone (386) 676-6335
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.86 of 100
- Quality
- 85.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9316187 | FL | MD | Nurse Practitioner |
| APRN9316187 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates of Ormond Beach PA | Current | Accepting new patients | |
| Central Florida Pulmonary Group PA | Current | Accepting new patients | |
| Respiratory Critical Care and Sleep Medicine Associates,Inc | Current | Accepting new patients | |
| Neurologic Consultants LLC | Current | Accepting new patients | |
| Neurology Associates of Ormond Beach | Current | Accepting new patients |
Locations
610 Jasmine Rd
Altamonte Springs, FL 32701
Phone (407) 385-1332
1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910
1325 San Marco Blvd
Ste 300
Jacksonville, FL 32207
Phone (904) 202-4243
1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910
14540 Old St Augustine Rd
Ste 2403
Jacksonville, FL 32258
Phone (904) 253-6910
326 N Mills Ave
Orlando, FL 32803
Phone (407) 841-1100
325 Clyde Morris Blvd
Ste 390
Ormond Beach, FL 32174
Phone (386) 425-4450
8 Mirror Lake Dr
Ste A
Ormond Beach, FL 32174
Phone (386) 673-2500
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/DGHCCA
- https://fhir4.healow.com/fhir/r4/HCBICD/Endpoint/HCBICD
- renatamoen@rccsma.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Ormond Beach, FL
- NPI 1578218095
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1386622629
-
- Pulmonary Disease Physician
- Orlando, FL
- NPI 1104805951
-
- Specialist
- Ormond Beach, FL
- NPI 1083679609
-
- Neurology Physician
- Ormond Beach, FL
- NPI 1871980631
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1417494840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1443 SAN MARCO BLVD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078535",
"telephone_number": "904-253-6910",
"fax_number": "904-253-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 OLD SAINT AUGUSTINE RD STE 2403",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587418",
"telephone_number": "904-253-6910",
"fax_number": "904-253-6964"
}
],
"practiceLocations": [
{
"address_1": "1443 San Marco Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078535",
"country_code": "US",
"telephone_number": "904-253-6910",
"fax_number": "904-253-6964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOEN",
"first_name": "RENATA",
"middle_name": "ARAUJO",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9316187",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9316187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101594800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.