TASHA RENAE MOORE APRN
NPI 1114775046
Nurse Practitioner - Family in Altamonte Springs, FL

Q: What is Tasha Moore's NPI number?

The NPI number for Tasha Moore is 1114775046. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Q: What is Tasha Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tasha Moore was last updated on October 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2024PECOS EnrolledAccepts Medicare Assignment

894 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL 32701(407) 834-5151(407) 834-5562 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tasha Renae Moore Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TASHA RENAE MOORE APRN (NPI 1114775046) is an individual family provider in Altamonte Springs, Florida, licensed in Florida (APRN11032086) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1114775046

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTASHA RENAE MOORECredential: APRN

Location Address894 E ALTAMONTE DRAltamonte Springs, FL 32701-5002

Mailing Address673 Vittorio DrWinter Haven, FL 33884-3449 · (262) 744-2115

Phone(407) 834-5151

Fax(407) 834-5562

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 7, 2024

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1114775046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11032086

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11032086 (FL)

894 E ALTAMONTE DR, Altamonte Springs, FL 32701

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Secondary Practice Location 1

Location 11400 S Orange Ave Ste Mp760-18Orlando, FL 32806-2134 · Phone (407) 648-3800 · Fax (321) 841-1893

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tasha Renae Moore Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547704801

PECOS Enrollment IDI20240627004248

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANCER INSTITUTE OF FLORIDA PA

Internal Medicine (Hematology & Oncology)