Active NPI
Quanza Elise Mooring, PHD, FNP-BC
- Family Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1110862
- Practice address
- 11260 E Jefferson Ave
Detroit, MI 48214-3320 - Phone
- (313) 749-0148
- NPI assigned
- Feb 16, 2023
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4025055 | KY | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0037108 | OH | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15134500 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 1110862 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 36864 | TN | |
| Family Nurse Practitioner | 363LF0000X | 356769 | NY | |
| Family Nurse Practitioner | 363LF0000X | 0024190959 | VA | |
| Family Nurse Practitioner | 363LF0000X | 29416A | SC | |
| Family Nurse Practitioner | 363LF0000X | APRN04273 | RI | |
| Family Nurse Practitioner | 363LF0000X | 5020824 | NC |
Addresses
Primary practice location
11260 E Jefferson Ave
Detroit, MI 48214-3320
Mailing address
PO Box 740013
Atlanta, GA 30374-0013
Phone (833) 804-1695
Other practice location 1
5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone (804) 913-7029
Other practice location 2
3360 N Watkins St
Memphis, TN 38127-6405
Phone (901) 401-7150
Other practice location 3
5743 Preston Hwy
Louisville, KY 40219-1305
Phone (502) 444-6008
Other practice location 4
1007 Summit Ave
Greensboro, NC 27405-7007
Phone (336) 200-7010
Other practice location 5
11251 Fondren Rd
Houston, TX 77096-5507
Phone (281) 532-5753
Other practice location 6
5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone (804) 913-7029
Other practice location 7
455 Sutter Ave
Brooklyn, NY 11212-8111
Phone (718) 765-6550
Other practice location 8
6119 White Horse Rd Ste 14
Greenville, SC 29611-3838
Phone (864) 614-7001
Other practice location 9
300 Quaker Ln # C2-4
Warwick, RI 02886-0159
Phone (401) 233-5051
Other practice location 10
5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone (804) 913-7029
Other practice location 11
1000 S Elmora Ave
Elizabeth, NJ 07202-3100
Phone (908) 737-5703
Other practice location 12
10688 Lorain Ave
Cleveland, OH 44111-5411
Phone (216) 682-7703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CT, TN, MI, OH, NJ, KY, NC, VA, RI, IN, PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 13
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Osh Mi Physicians Group, PC
Practice addresses (Care Compare)
1007 Summit Ave
Greensboro, NC 27405-7007
Phone (336) 200-7010
10688 Lorain Ave
Cleveland, OH 44111-5411
Phone (216) 682-7703
11260 E Jefferson Ave
Jefferson Village Clinic
Detroit, MI 48214-3320
Phone (313) 749-0148
2000 N Main St
Suite a
Waterbury, CT 06704-2364
Phone (203) 951-8306
2240 E 53Rd St
Suite 1
Indianapolis, IN 46220-3479
Phone (317) 933-7047
300 Quaker LN
Warwick, RI 02886-0159
Phone (401) 233-5051
3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150
3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484
455 Sutter Ave
Brooklyn, NY 11212-8111
Phone (718) 765-6550
5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone (804) 913-7029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13623 | CT | MD | Pediatric Physical Therapist |
| 4025055 | KY | MD | Family Nurse Practitioner |
| 356769 | NY | MD | Family Nurse Practitioner |
| APRN.CNP.0037108 | OH | MD | Family Nurse Practitioner |
| APRN04273 | RI | MD | Family Nurse Practitioner |
| 1110862 | TX | MD | Family Nurse Practitioner |
| 0024190959 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current | Accepting new patients | |
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Regional Physician Services of Texas, P.a. | Current | Accepting new patients | |
| Griffin Myers Medical, P.C. | Family | Current | Accepting new patients |
| Osh - PA Physicians Group, PC | Family | Current | Accepting new patients |
| Osh-NJ Physicians Group PC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Family | Current | Accepting new patients |
| Osh - Ri Physicians Group, PC | Current | Accepting new patients | |
| Nova Physician Group PLLC | Current | Accepting new patients | |
| Osh-VA Physicians Group PLLC | Current | Accepting new patients | |
| Oak Street Health of Texas, PLLC | Family | Current | Accepting new patients |
| Osh-Mi Physicians Group PC | Current | Accepting new patients | |
| Osh-Oh Physicians Group PC | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Kentucky, PLLC | Family | Current | Accepting new patients |
| Matrix Medical Plus | Current | Accepting new patients | |
| Osh-in Physicians Group, PC | Family | Current | Accepting new patients |
| Oak Street Health Physicians Group, PC | Family | Past | Accepting new patients |
| Oak Street Health Physicians Group of South Carolina, LLC | Family | Past | Accepting new patients |
| Nova Physician Group PLLC | Past | Accepting new patients | |
| Oak Street Health Physicians Group of Tennessee, PLLC | Past | Accepting new patients |
Locations (25 of 29)
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
2000 N Main St
#A
Waterbury, CT 06704
Phone (203) 951-8306
2240 E 53rd St
Ste B1
Indianapolis, IN 46220
Phone (317) 933-7047
5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730
5743 Preston Hwy
Louisville, KY 40219
Phone (502) 444-6008
11260 E Jefferson Ave
Detroit, MI 48214
Phone (313) 306-5494
400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582
102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033
3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118
1007 Summit Ave
Greensboro, NC 27405
Phone (336) 200-7010
1000 S Elmora Ave
Elizabeth, NJ 07202
Phone (908) 629-1265
455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550
11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000
10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702
10688 Lorain Ave
Cleveland, OH 44111
Phone (216) 232-9807
1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000
300 Quaker Ln
#C24
Warwick, RI 02886
Phone (401) 233-5051
300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051
3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071
4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370
3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358
Interoperability endpoints
- quanza.mooring.1@8042.direct.athenahealth.com
Organizations & group practices 20
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.
-
- Primary Care Clinic/Center
- Waterbury, CT
- NPI 1093561136
-
- Primary Care Clinic/Center
- Warwick, RI
- NPI 1063984813
-
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1346747946
-
- Primary Care Clinic/Center
- Richmond, VA
- NPI 1346941424
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1700236478
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1467031997
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1770281016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740013",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740013",
"telephone_number": "833-804-1695",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482143320",
"telephone_number": "313-749-0148"
}
],
"practiceLocations": [
{
"address_1": "5246 Chamberlayne Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232272950",
"country_code": "US",
"telephone_number": "804-913-7029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3360 N Watkins St",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381276405",
"country_code": "US",
"telephone_number": "901-401-7150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5743 Preston Hwy",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402191305",
"country_code": "US",
"telephone_number": "502-444-6008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1007 Summit Ave",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274057007",
"country_code": "US",
"telephone_number": "336-200-7010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11251 Fondren Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770965507",
"country_code": "US",
"telephone_number": "281-532-5753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5246 Chamberlayne Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232272950",
"country_code": "US",
"telephone_number": "804-913-7029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Sutter Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112128111",
"country_code": "US",
"telephone_number": "718-765-6550",
"fax_number": "347-620-9739",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6119 White Horse Rd Ste 14",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296113838",
"country_code": "US",
"telephone_number": "864-614-7001",
"fax_number": "864-408-8590",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Quaker Ln # C2-4",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028860159",
"country_code": "US",
"telephone_number": "401-233-5051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5246 Chamberlayne Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232272950",
"country_code": "US",
"telephone_number": "804-913-7029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 S Elmora Ave",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072023100",
"country_code": "US",
"telephone_number": "908-737-5703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10688 Lorain Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441115411",
"country_code": "US",
"telephone_number": "216-682-7703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORING",
"first_name": "QUANZA",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "PHD, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4025055",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0037108",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15134500",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1110862",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "36864",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "356769",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024190959",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "29416A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN04273",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5020824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.