Active NPI
Roberta Anne Moore, ARNP-C
- Adult Health Nurse Practitioner
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9203856
- Practice address
- 26823 Tanic Dr
Wesley Chapel, FL 33544-4605 - Phone
- (813) 929-5193
- Fax
- (813) 582-1750
- NPI assigned
- Jan 25, 2013
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN9203856 | FL | Primary |
Addresses
Primary practice location
26823 Tanic Dr
Wesley Chapel, FL 33544-4605
Mailing address
13801 Bruce B Downs Blvd
Ste 104
Tampa, FL 33613-3911
Phone (813) 972-5090
Other practice location 1
3010 E 138th Ave
Suite 12
Tampa, FL 33613-3904
Phone (813) 975-2800
Other practice location 2
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Other practice location 3
130 Pablo St
Lakeland, FL 33803-3818
Phone (863) 687-1100
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Hospital & facility affiliations
- Lakeland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9203856 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Cardiovascular Center of Tampa, P.a. | Current | Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
13801 Bruce B Downs Blvd
Ste 104
Tampa, FL 33613
Phone (813) 972-5090
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- rmoore54270@lrhs.direct-ci.com
- https://fhir4.healow.com/fhir/r4/JEGJBA
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1346249703
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1629316625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD",
"address_2": "STE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133911",
"telephone_number": "813-972-5090",
"fax_number": "813-975-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26823 TANIC DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335444605",
"telephone_number": "813-929-5193",
"fax_number": "813-582-1750"
}
],
"practiceLocations": [
{
"address_1": "3010 E 138th Ave",
"address_2": "Suite 12",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336133904",
"country_code": "US",
"telephone_number": "813-975-2800",
"fax_number": "813-977-7631",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1324 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338054543",
"country_code": "US",
"telephone_number": "863-687-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Pablo St",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338033818",
"country_code": "US",
"telephone_number": "863-687-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ROBERTA",
"middle_name": "ANNE",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9203856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.
- 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.