Active NPI
Nicole Moser
- Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1467178251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11022402
- Practice address
- 3190 N McMullen Booth Rd Ste 202
Clearwater, FL 33761-2013 - Phone
- (727) 953-9347
- NPI assigned
- Oct 13, 2022
- Last updated
- Feb 11, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11022402 | FL | Primary |
Addresses
Primary practice location
3190 N McMullen Booth Rd Ste 202
Clearwater, FL 33761-2013
Mailing address
3821 Forrestgate Dr
Winston Salem, NC 27103-2930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11022402 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1467178251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 FORRESTGATE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 N MCMULLEN BOOTH RD STE 202",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612013",
"telephone_number": "727-953-9347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11022402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
- Morton Plant Hospital Association, Inc. (Professional Billing MPH)
- Morton Plant Mease Health Services Inc (Boi Carlisle)
- Morton Plant Mease Health Services, Inc (Susan Cheek Needler Breast Center)
- Morton Plant Mease Hospital
- Jeramy Don Mosburg, D.O.
- James Moses, LCSW
- Samantha Moses
- Joanna Mosher
- Arian John Moshref, DO
- Sophia Mosleh, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.