Individual provider Active NPI

Denita Raymonde Moorer, ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1649654203
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9344512 Issued in FL
Practice address
820 Prudential Dr Ste 112
Jacksonville, FL 32207-8204
Phone
(904) 396-5996
Fax
(904) 398-2480
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9344512 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 112
Jacksonville, FL 32207-8204

Mailing address

PO Box 43667
Jacksonville, FL 32203-3667
Phone (904) 398-3760

Other identifiers 2

IdentifierTypeStateIssuer
IN PROCESSMedicaidFL
AWAITING FL MCROtherFLRAILROAD MEDICARE

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
I20150821012813 FL Practitioner - Nurse Practitioner 0446565329 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

2585 Herschel St
Jacksonville, FL 32204-4557
Phone (904) 388-2678

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 202-8758

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9344512FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Oct 3, 2025 Accepting new patients
Rmed LLC CurrentSince Mar 1, 2025 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Mar 9, 2022 Accepting new patients
Rmed LLC CurrentSince Mar 1, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Mar 9, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Clinic for Kidney Diseases PA Past Accepting new patients

Locations

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

2585 Herschel St
Jacksonville, FL 32204

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

201 Health Park Blvd
Ste 215
St Augustine, FL 32086
Phone (904) 373-1177

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

400 Health Park Blvd
Ste 300
St Augustine, FL 32086
Phone (904) 819-4082

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Interoperability endpoints

  • Direct secure messaging: dmoorer893995@direct.shands.ufl.edu
  • Direct secure messaging: denita.moorer.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1649654203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43667",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322033667",
            "telephone_number": "904-398-3760",
            "fax_number": "904-398-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 112",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078204",
            "telephone_number": "904-396-5996",
            "fax_number": "904-398-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORER",
        "first_name": "DENITA",
        "middle_name": "RAYMONDE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9344512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IN PROCESS",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "AWAITING FL MCR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.