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NATHAN MOISE FNP , PMHNP
NPI 1306309190
Nurse Practitioner - Family in Port Saint Lucie, FL

Active since April 09, 2019PECOS Enrolled
2250 SW GATLIN BLVD, PORT SAINT LUCIE, FL 34953(772) 877-7204 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nathan Moise Fnp , Pmhnp NPPES

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

NATHAN MOISE FNP , PMHNP (NPI 1306309190) is an individual family provider in Port Saint Lucie, Florida, licensed in Florida (11014577) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306309190
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNATHAN MOISECredential: FNP , PMHNP
Location Address2250 SW GATLIN BLVDPort Saint Lucie, FL 34953-2753
Mailing Address2250 Sw Gatlin BlvdPort Saint Lucie, FL 34953-2753 · (772) 877-7204
Phone(772) 877-7204
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 9, 2019
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1306309190 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
License✔ Licensed in FL · 11014577
2250 SW GATLIN BLVD, Port Saint Lucie, FL 34953
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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)

Nathan Moise Fnp , Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739608563
PECOS Enrollment IDI20260223001000
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 Reassignments

2

Medicare enrollment records show Nathan Moise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brookview Medical Associates, PLLC
1,021 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Signify Health, LLC
1,057 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 34953 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
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Nathan Moise's NPI number?

The NPI number for Nathan Moise is 1306309190. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Nathan Moise located?

Nathan Moise practices at 2250 SW Gatlin Blvd, Port Saint Lucie, FL 34953. The listed phone number is (772) 877-7204.

What is Nathan Moise's specialty?

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

Is Nathan Moise enrolled in Medicare?

Yes. Nathan Moise is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nathan Moise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Moise reassigns Medicare benefits to 2 organizations: Brookview Medical Associates, PLLC (Bohemia, NY) and Signify Health, LLC (Dallas, TX). Each 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 Nathan Moise'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 Nathan Moise was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.