Individual provider Active NPI

Jean Dominique Morancy, M.D.

  • Public Health & General Preventive Medicine Physician
  • Homestead, FL
National Provider Identifier
1811289572
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ME124810 Issued in FL
Practice address
14324 SW 264TH St Unit 400
Homestead, FL 33032-7446
Phone
(786) 523-3179
NPI assigned
May 12, 2011
Last updated
Apr 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME124810 FL
Public Health & General Preventive Medicine Physician 2083P0901X ME124810 FL Primary
Public Health & General Preventive Medicine Physician 2083P0901X 35.152263 OH

Addresses

Primary practice location

14324 SW 264TH St Unit 400
Homestead, FL 33032-7446

Mailing address

14324 SW 264TH St Unit 400
Homestead, FL 33032-7446
Phone (786) 523-3179

Other practice location 1

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6000

Other practice location 2

4201 Renaissance Way
Boynton Beach, FL 33426-8232
Phone (786) 523-3179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX, FL, ND4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150722006365 MN Practitioner - General Practice 2264745058 Reassigns benefits to 1 organization
I20190321000786 TX Practitioner - Emergency Medicine 2264745058 Reassigns benefits to 1 organization
I20210407001068 FL Practitioner - Preventive MedicinePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 2264745058 Reassigns benefits to 4 organizations
I20251013001994 ND Practitioner - Emergency Medicine 2264745058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital of Devils LakeGroup PAC ID 9537128681, shared by 3 NPIs, 11 clinicians
Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians

Practice addresses (Care Compare)

1031 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2131

1475 W 49TH PL
Hialeah, FL 33012-3113
Phone (305) 204-9318

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Oct 3, 2025 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Feb 13, 2019 Accepting new patients
Lifecare Medical Center Current Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Oct 3, 2025 Accepting new patients
Mendoza Medical Center Corp CurrentSince May 16, 2025 Accepting new patients
Mercy Hospital of Devils Lake Emergency Medicine Current Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

14324 SW 264th St
Unit 400
Homestead, FL 33032
Phone (305) 562-9824

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

3290 Solutions Ctr
Chicago, IL 60677

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

Organizations & group practices 10

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 3

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1811289572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14324 SW 264TH ST UNIT 400",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327446",
            "telephone_number": "786-523-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14324 SW 264TH ST UNIT 400",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327446",
            "telephone_number": "786-523-3179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541450",
            "country_code": "US",
            "telephone_number": "612-672-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Renaissance Way",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268232",
            "country_code": "US",
            "telephone_number": "786-523-3179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORANCY",
        "first_name": "JEAN DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME124810",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME124810",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "35.152263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.