PATRICK SEAN MOLTMAKER APRN, PMHNP-BC
NPI 1104484096
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL
About Patrick Sean Moltmaker Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK SEAN MOLTMAKER APRN, PMHNP-BC (NPI 1104484096) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11002615) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrick Sean Moltmaker Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Patrick Moltmaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32202
- Reassigned Medicare billing, Florida enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32202
JACKSONVILLE, FL 32202
JACKSONVILLE, FL 32202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Patrick Moltmaker's NPI number?
The NPI number for Patrick Moltmaker is 1104484096. It was assigned to this individual provider in the NPPES registry on June 5, 2019.
Where is Patrick Moltmaker located?
Patrick Moltmaker practices at 611 E Adams St, Jacksonville, FL 32202. The listed phone number is (904) 394-1356.
What is Patrick Moltmaker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Patrick Moltmaker enrolled in Medicare?
Yes. Patrick Moltmaker is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Patrick Moltmaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Moltmaker reassigns Medicare benefits to Im Sulzbacher Center For The Homeless, Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Moltmaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patrick Moltmaker accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Patrick Moltmaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Patrick Moltmaker was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Patrick Sean Moltmaker, APRN, PMHNP-BC · NPI 1104484096
Psychiatric/Mental Health physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 5, 2019.
## Identity
- **NPI:** 1104484096 (Entity type: Individual)
- **Enumerated:** June 5, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11002615 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 E ADAMS ST, Jacksonville, FL 32202-2847
- **Phone:** (904) 394-1356
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Im Sulzbacher Center For The Homeless, Inc (NPI 1710051354, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104484096) · Data from the CMS NPPES public registry.