Active NPI
Michele Renee Moritz, FNP-BC
- Family Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 340621
- Practice address
- 10240 N 43Rd Ave Ste 3
Glendale, AZ 85302-2044 - Phone
- (480) 931-3156
- Fax
- (480) 776-0025
- NPI assigned
- Dec 3, 2017
- Last updated
- Jul 17, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340621 | AZ | Primary |
Addresses
Primary practice location
10240 N 43Rd Ave Ste 3
Glendale, AZ 85302-2044
Mailing address
10240 N 43Rd Ave Ste 3
Glendale, AZ 85302-2044
Phone (480) 931-3156
Other names 1
- Michele Renee Redler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 W Kimberly Rd
Mercyone Genesis Davenport Health P
Davenport, IA 52806-3059
Phone (563) 421-0100
855 Illini Dr
Suite 408
Silvis, IL 61282-2904
Phone (309) 792-6441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016954 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Stone Ridge Medical Group SC | Current | Accepting new patients |
Locations
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
3200 W Kimberly Rd
#P
Davenport, IA 52806
Phone (563) 421-0100
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191
619 5th St
Durant, IA 52747
Phone (563) 785-4487
301 N 4th Ave
Eldridge, IA 52748
Phone (563) 285-7232
202 Picard St
Alpha, IL 61413
Phone (309) 629-4601
306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329
4322 7th St
Moline, IL 61265
Phone (309) 517-6222
855 Illini Dr
Ste 408
Silvis, IL 61282
Phone (309) 281-2140
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAIFAA
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Genesis Health Group
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
IL
-
- Family Medicine Physician
- East Moline, IL
- NPI 1306097894
-
dba Genesis Convenient Care Bettendorf
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
dba Genesis Health Group, Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Davenport, IA
- NPI 1295196798
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1710492582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 N 43RD AVE STE 3",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022044",
"telephone_number": "480-931-3156",
"fax_number": "480-776-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 N 43RD AVE STE 3",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022044",
"telephone_number": "480-931-3156",
"fax_number": "480-776-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORITZ",
"first_name": "MICHELE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-03",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "340621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "REDLER",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.