Individual provider Active NPI

Danamarie Moonoo, PA

  • Physician Assistant
  • Wellington, FL
National Provider Identifier
1992100036
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108333 Issued in FL
Practice address
1395 S State Road 7
Suite 350
Wellington, FL 33414-9325
Phone
(561) 793-3363
Fax
(561) 793-3365
NPI assigned
Oct 31, 2014
Last updated
Oct 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108333 FL Primary

Addresses

Primary practice location

1395 S State Road 7
Suite 350
Wellington, FL 33414-9325

Mailing address

1395 S State Road 7
Suite 350
Wellington, FL 33414-9325
Phone (561) 793-3363

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
I20141118000574 FL Practitioner - Physician Assistant 6709008261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
93.89
Promoting interoperability
100
Improvement activities
40
Cost
60.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: dmoonoo30161@direct.msmc.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1992100036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE 350",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149325",
            "telephone_number": "561-793-3363",
            "fax_number": "561-793-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE 350",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149325",
            "telephone_number": "561-793-3363",
            "fax_number": "561-793-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONOO",
        "first_name": "DANAMARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.