Individual provider Active NPI

Michele Renee Moritz, FNP-BC

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1710492582
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340621 Issued in AZ
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180216001105 IL Practitioner - Nurse Practitioner 1557621323 Reassigns benefits to 2 organizations
I20250417000583 IA Practitioner - Nurse Practitioner 1557621323 Reassigns benefits to 1 organization

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
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

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

LicenseStateTypeSpecialty
209016954ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jul 29, 2024 Accepting new patients
Genesis Health System CurrentSince Jul 29, 2024 Accepting new patients
Genesis Health System CurrentSince Mar 17, 2025 Accepting new patients
Stone Ridge Medical Group SC CurrentSince Apr 1, 2019 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.