Individual provider Active NPI

Quanza Elise Mooring, PHD, FNP-BC

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1770281016
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1110862 Issued in TX
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

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY13 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 13

Enrollment IDStateProvider typePAC IDDetails
I20230321000482 TX Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 2 organizations
I20241028001180 CT Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20241114000547 TN Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20241125001177 MI Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 2 organizations
I20241202000822 OH Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 2 organizations
I20241206001527 NJ Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20241210002868 KY Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20241211004392 NC Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20241224000017 VA Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20250106003148 RI Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20250107000681 IN Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20250429000398 PA Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization
I20250623000275 NY Practitioner - Nurse Practitioner 8224402920 Reassigns benefits to 1 organization

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, PCGroup PAC ID 7810282191, shared by 3 NPIs, 154 clinicians
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians
Nova Physician Group PLLCGroup PAC ID 7810428166, 10 clinicians
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians
Osh - Ri Physicians Group PCGroup PAC ID 5193051936, 32 clinicians
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians
Osh-VA Physicians Group PLLCGroup PAC ID 3274994470, 18 clinicians

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

LicenseStateTypeSpecialty
13623CTMDPediatric Physical Therapist
4025055KYMDFamily Nurse Practitioner
356769NYMDFamily Nurse Practitioner
APRN.CNP.0037108OHMDFamily Nurse Practitioner
APRN04273RIMDFamily Nurse Practitioner
1110862TXMDFamily Nurse Practitioner
0024190959VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Oct 1, 2025 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Aug 19, 2024 Accepting new patients
Regional Physician Services of Texas, P.a. CurrentSince Sep 1, 2025 Accepting new patients
Griffin Myers Medical, P.C. Family CurrentSince Jun 18, 2025 Accepting new patients
Osh - PA Physicians Group, PC Family CurrentSince Apr 28, 2025 Accepting new patients
Osh-NJ Physicians Group PC CurrentSince Nov 11, 2024 Accepting new patients
Osh-Mi Physicians Group PC Family CurrentSince Oct 8, 2024 Accepting new patients
Osh - Ri Physicians Group, PC CurrentSince Dec 3, 2024 Accepting new patients
Nova Physician Group PLLC CurrentSince Sep 25, 2024 Accepting new patients
Osh-VA Physicians Group PLLC CurrentSince Oct 4, 2024 Accepting new patients
Oak Street Health of Texas, PLLC Family CurrentSince Mar 6, 2023 Accepting new patients
Osh-Mi Physicians Group PC CurrentSince Sep 5, 2024 Accepting new patients
Osh-Oh Physicians Group PC CurrentSince Sep 8, 2024 Accepting new patients
Oak Street Health Physicians Group of Kentucky, PLLC Family CurrentSince Sep 15, 2024 Accepting new patients
Matrix Medical Plus CurrentSince Sep 1, 2025 Accepting new patients
Osh-in Physicians Group, PC Family CurrentSince Nov 19, 2024 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 PastSince May 12, 2024 Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC PastSince Jul 17, 2022 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

  • Direct secure messaging: 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.

View all 20

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": []
}

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Sources for this page

Verify at the official NPI Registry.