MS. KELLI MOREAU APRN
NPI 1194738104
Nurse Practitioner - Family in Port Charlotte, FL

Q: What is Kelli Moreau's NPI number?

The NPI number for Kelli Moreau is 1194738104. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Kelli Moreau'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 Kelli Moreau was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 14, 2006PECOS Enrolled

4130 TAMIAMI TRL UNIT 202, PORT CHARLOTTE, FL 33952(941) 787-7111 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2022, Feb 17, 2021 (2 updates tracked since 2021).

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About Ms. Kelli Moreau Aprn NPPES

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

MS. KELLI MOREAU APRN (NPI 1194738104) is an individual family provider in Port Charlotte, Florida, licensed in Florida (APRN11009899) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194738104

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KELLI MOREAUCredential: APRN

Location Address4130 TAMIAMI TRL UNIT 202Port Charlotte, FL 33952-9207

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(941) 787-7111

Sole ProprietorNo

Enumeration DateAugust 14, 2006

Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration

NPPES CertifiedNovember 29, 2022

✔ NPI 1194738104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in FL · APRN11009899✔ Licensed in CT · 002783

4130 TAMIAMI TRL UNIT 202, Port Charlotte, FL 33952

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelli Moreau Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli Moreau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Millennium Physician Group LLC

32 mi

Family Medicine

6321 DANIELS PKWY
Fort Myers, FL 33912

Reassigned Medicare billing, Florida enrollment
1,278 clinicians in this Medicare group

NPI 1811122880 (877) 856-3774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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.

Other Providers at the Same Location NPPES 4

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

DANA F PLANER DO

Internal Medicine

4130 TAMIAMI TRL UNIT 202
PORT CHARLOTTE, FL 33952

Charlotte County (941) 787-7111

MRS. ALISON BETH TRIMBLE FNP-C

Nurse Practitioner (Family)

4130 TAMIAMI TRL UNIT 202
PORT CHARLOTTE, FL 33952

Charlotte County (941) 787-7111

MR. KEVIN ALEXANDER PEREZ PA-C

Physician Assistant (Medical)

4130 TAMIAMI TRL UNIT 202
PORT CHARLOTTE, FL 33952

Charlotte County (941) 787-7111

STACEY STINGER ARNP

Nurse Practitioner (Family)

4130 TAMIAMI TRL UNIT 202
PORT CHARLOTTE, FL 33952

Charlotte County (419) 787-7111

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 Kelli Moreau's NPI number?

The NPI number for Kelli Moreau is 1194738104. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Kelli Moreau located?

Kelli Moreau practices at 4130 Tamiami Trl Unit 202, Port Charlotte, FL 33952. The listed phone number is (941) 787-7111.

What is Kelli Moreau's specialty?

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

Is Kelli Moreau enrolled in Medicare?

Yes. Kelli Moreau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Moreau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Moreau reassigns Medicare benefits to Millennium Physician Group LLC (Fort Myers, 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 Kelli Moreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelli Moreau was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.