Individual provider Active NPI

Taylor Moon, CRNA

  • Certified Registered Nurse Anesthetist
  • Port Charlotte, FL
National Provider Identifier
1508570920
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11023823 Issued in FL
Practice address
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone
(941) 766-4125
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11023823 FL Primary
Certified Registered Nurse Anesthetist 367500000X 4037662 KY

Addresses

Primary practice location

2500 Harbor Blvd
Port Charlotte, FL 33952-5000

Mailing address

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4125

Other identifiers 1

IdentifierTypeStateIssuer
119246400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230501001925 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507221314 Reassigns benefits to 11 organizations
I20250228003230 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507221314
I20250418001613 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507221314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Tenet Florida Physician Services LLCGroup PAC ID 0345349478, 239 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
SRQ Anesthesia LLCGroup PAC ID 8820576911, 21 clinicians
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

1750 Englewood Rd
Englewood, FL 34223-1821
Phone (941) 681-3555

206 2ND St E
Manatee Memorial Hospital
Bradenton, FL 34208-1042
Phone (941) 746-5111

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903

3325 S Tamiami TRL
Suite 100
Sarasota, FL 34239-5142
Phone (941) 552-3480

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 893-6182

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4037662KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince May 1, 2025 Accepting new patients
Treasure Coast Anesthesia Group PA Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Mar 31, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince May 1, 2025 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Sep 22, 2025 Accepting new patients
University of Louisville Physicians, Inc. Anesthesiology Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients
Modern Anesthesia and Billing Services, LLC Anesthesiology CurrentSince Jun 16, 2025 Accepting new patients
SRQ Anesthesia LLC Anesthesiology CurrentSince Jan 2, 2026 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Aug 10, 2023 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince May 5, 2025 Accepting new patients
Floridian Anesthesia Services LLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
FDHS Anesthesia LLC Anesthesiology CurrentSince Dec 1, 2024 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince May 5, 2025 Accepting new patients

Locations (25 of 30)

2902 59th St W
Ste F
Bradenton, FL 34209
Phone (941) 792-9685

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

2902 59th St W
Ste G
Bradenton, FL 34209
Phone (941) 792-9685

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

1750 Englewood Rd
Englewood, FL 34223
Phone (941) 473-1900

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

5741 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 342-1303

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

2089 Hawthorne St
Ste 100
Sarasota, FL 34239
Phone (941) 952-1145

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1508570920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "TAYLOR",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11023823",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4037662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119246400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.