Active NPI
Denita Raymonde Moorer, ARNP
- Adult Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9344512
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN PROCESS | Medicaid | FL | |
| AWAITING FL MCR | Other | FL | RAILROAD 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9344512 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Rmed LLC | Current | Accepting new patients | |
| Florida Kidney Physicians, LLC | Current | Accepting new patients | |
| Rmed LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Florida Kidney Physicians , LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | 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
- dmoorer893995@direct.shands.ufl.edu
- denita.moorer.1@15644.direct.athenahealth.com
- 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.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1508815358
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1205476793
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1225298599
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1467471672
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.