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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIDNEY CELINE MOORE PHYSICIAN ASSISTANT
NPI 1194699199
Physician Assistant in Port Saint Lucie, FL

Active since October 02, 2025PECOS Enrolled
10000 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987(772) 345-8100 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Mar 28, 2026 (2 updates tracked since 2026).

About Sidney Celine Moore Physician Assistant NPPES

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

SIDNEY CELINE MOORE PHYSICIAN ASSISTANT (NPI 1194699199) is an individual physician assistant in Port Saint Lucie, Florida and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stuart, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194699199
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSIDNEY CELINE MOORECredential: PHYSICIAN ASSISTANT
Location Address10000 SW INNOVATION WAYPort Saint Lucie, FL 34987-2111
Mailing Address4850 Millenia BlvdOrlando, FL 32839-6012
Phone(772) 345-8100
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 2, 2025
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1194699199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10000 SW INNOVATION WAY, Port Saint Lucie, FL 34987
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Secondary Practice Location 1

Location 1200 SE Hospital AveStuart, FL 34994-2346 · Phone (772) 287-5200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sidney Celine Moore Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224509971
PECOS Enrollment IDI20260603004763
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34987 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. PATRINA CONLEY-BROWN DO
Internal Medicine (Cardiovascular Disease)
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 345-8100
SARAH GARDI GARCIA PA-C
Physician Assistant (Surgical)
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 345-8100
GA HEE KIM
Internal Medicine (Cardiovascular Disease)
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 419-2286
DR. FELIX FILIAS MD
Internal Medicine
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 345-8100
MS. MARIA ELIZAZBETH CARDONA ADN ONS RN
Registered Nurse (Oncology)
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 345-8100
BIBIANA ROCIO SANDOVAL MD, MPH
Family Medicine
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 345-8100
GAUDY SOTO
Pharmacist
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 223-5945
KENDALL MELISSA ALBU PA-C
Physician Assistant
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 345-8100

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 Sidney Moore's NPI number?

The NPI number for Sidney Moore is 1194699199. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Sidney Moore located?

Sidney Moore practices at 10000 SW Innovation Way, Port Saint Lucie, FL 34987. The listed phone number is (772) 345-8100.

What is Sidney Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sidney Moore enrolled in Medicare?

Yes. Sidney Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sidney Moore was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.