Individual provider Active NPI

Renata Araujo Moen, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1417494840
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9316187 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101594800MedicaidFL

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
I20170928000738 FL Practitioner - Nurse Practitioner 8628342789 Reassigns benefits to 4 organizations

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
Neurologic Consultants LLCGroup PAC ID 2860870169, 4 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ARNP9316187FLMDNurse Practitioner
APRN9316187FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Ormond Beach PA CurrentSince Jan 1, 2021 Accepting new patients
Central Florida Pulmonary Group PA CurrentSince Jul 11, 2017 Accepting new patients
Respiratory Critical Care and Sleep Medicine Associates,Inc CurrentSince Sep 1, 2022 Accepting new patients
Neurologic Consultants LLC CurrentSince Dec 1, 2025 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHCCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCBICD/Endpoint/HCBICD
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.