Individual provider Active NPI

Maria Alejandra Moreno Cabasos, NP

  • Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1780148346
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11002507 Issued in FL
Practice address
1920 Don Wickham Dr
Clermont, FL 34711-1918
Phone
(866) 400-3376
Fax
(352) 241-7620
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 112705 NE
Nurse Practitioner 363L00000X APRN11002507 FL Primary

Addresses

Primary practice location

1920 Don Wickham Dr
Clermont, FL 34711-1918

Mailing address

151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (866) 400-3376

Other practice location 1

501 S Orange St
New Smyrna Beach, FL 32168-7318
Phone (386) 677-9044

Other practice location 2

1175 Dunlawton Ave Ste 102
Port Orange, FL 32127-4741
Phone (386) 677-9044

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008003695 FL Practitioner - Nurse Practitioner 0840538344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1920 Don Wickham Dr
Suite 330
Clermont, FL 34711-1978
Phone (352) 241-4298

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
100
Promoting interoperability
95
Improvement activities
40
Cost
72.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11002507FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Jun 1, 2025 Accepting new patients
Parks Dermatology Center LLC CurrentSince Aug 16, 2021 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

1920 Don Wickham Dr
Ste 330
Clermont, FL 34711
Phone (352) 241-4298

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 274-2977

2515 Junior St
Orange City, FL 32763
Phone 3866779044305

14050 Town Loop Blvd
Ste 203
Orlando, FL 32837
Phone (407) 852-6650

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174
Phone (386) 677-9044

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1175 Dunlawton Ave
Ste 102
Port Orange, FL 32127
Phone (386) 316-8092

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Interoperability endpoints

  • Direct secure messaging: cabasosm@parksdermatology.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1780148346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "866-400-3376",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111918",
            "telephone_number": "866-400-3376",
            "fax_number": "352-241-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Orange St",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321687318",
            "country_code": "US",
            "telephone_number": "386-677-9044",
            "fax_number": "386-677-3083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 Dunlawton Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274741",
            "country_code": "US",
            "telephone_number": "386-677-9044",
            "fax_number": "386-677-3083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO CABASOS",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "112705",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.