| Kristen Nicole Moore, | |
|
3704 Fanciful Ct, Saint Cloud, FL 34772-8239 | |
| (407) 744-2423 | |
| Not Available |
| Full Name | Kristen Nicole Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3704 Fanciful Ct, Saint Cloud, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629703319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11020848 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carespot Of Orlando Hsi Urgent Care Llc | 8921372558 | 50 |
| Entity Name | Solantic/south Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic Of Jacksonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Hma-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | West Boynton Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003172628 PECOS PAC ID: 0941456537 Enrollment ID: O20120815000049 |
| Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Nicole Moore, 3704 Fanciful Ct, Saint Cloud, FL 34772-8239 Ph: (407) 744-2423 | Kristen Nicole Moore, 3704 Fanciful Ct, Saint Cloud, FL 34772-8239 Ph: (407) 744-2423 |
Lynette Whaley Bryant, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 17th St Ste A, Saint Cloud, FL 34769 Phone: 407-892-0009 | |
Lorraine Ann Wesenberg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2449 Yellow Brick Rd, Saint Cloud, FL 34772 Phone: 888-646-2273 | |
Vera Lee Ahmad, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1417 Hamlin Ave Unit F, Saint Cloud, FL 34771 Phone: 800-925-1840 Fax: 800-521-9406 | |
Ms. Stacey Gedeon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4985 Rain Shadow Dr, Saint Cloud, FL 34772 Phone: 321-750-6711 | |
Betty Tello, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2013 Live Oak Blvd Ste C, Saint Cloud, FL 34771 Phone: 407-593-2388 Fax: 407-593-2392 | |
Libby Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769 Phone: 407-743-9373 | |
Rukmini Gangapersaud, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 17th St, Saint Cloud, FL 34769 Phone: 407-892-0009 |