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MOISES DOBARGANES ARNP PA
NPI 1356734396
Nurse Practitioner - Gerontology in Palm Coast, FL

Active since March 16, 2015CLIA 10D2108453 · Waiver
4883 PALM COAST PKWY NW UNIT 1, PALM COAST, FL 32137(386) 585-4556(386) 585-4529 Get Directions Write a Review

NPPES record last updated: August 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Moises Dobarganes Arnp Pa NPPES

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

MOISES DOBARGANES ARNP PA (NPI 1356734396) is a healthcare organization registered as a gerontology in Palm Coast, Florida and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Moises Dobarganes, President, as its authorized official.

NPPES Registry Identity

NPI1356734396
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameMOISES DOBARGANES ARNP PA
Location Address4883 PALM COAST PKWY NW UNIT 1Palm Coast, FL 32137-3675
Mailing Address4883 Palm Coast Pkwy Nw Unit 1Palm Coast, FL 32137-3675 · (386) 585-4556 · Fax (386) 585-4529
Phone(386) 585-4556
Fax(386) 585-4529
Organization SubpartNo
Authorized OfficialMoises DobarganesPresident · (386) 585-4556
Enumeration DateMarch 16, 2015
Last NPPES UpdateAugust 22, 2021
NPPES CertifiedAugust 22, 2021
✔ NPI 1356734396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
4883 PALM COAST PKWY NW UNIT 1, Palm Coast, FL 32137
Open in Google Maps ↗

Other Identifiers 2

Medicaid010602200FL
Medicaid015501800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moises Dobarganes Arnp Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moises Dobarganes Arnp PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Moises Dobarganes, APRN
Nurse Practitioner
NPI 1538235551
4883 PALM COAST PKWY NW UNIT 1
Palm Coast, FL 32137
(386) 585-4556
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2108453

Moises Dobarganes Arnp PA · Palm Coast, FL
Active · expires Feb 4, 2028
CLIA Number10D2108453
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorMoises Dobarganes
Laboratory Phone(786) 703-8061
Laboratory LocationMoises Dobarganes Arnp PA4883 Palm Coast Pkwy NW Unit 1, Palm Coast, FL 32137
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Moises Dobarganes Arnp PA's NPI number?

The NPI number for Moises Dobarganes Arnp PA is 1356734396. It was assigned to this organization in the NPPES registry on March 16, 2015.

Where is Moises Dobarganes Arnp PA located?

Moises Dobarganes Arnp PA is located at 4883 Palm Coast Pkwy NW Unit 1, Palm Coast, FL 32137. The listed phone number is (386) 585-4556.

What is Moises Dobarganes Arnp PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Moises Dobarganes Arnp PA enrolled in Medicare?

Yes. Moises Dobarganes Arnp PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moises Dobarganes Arnp PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Moises Dobarganes Arnp PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Moises Dobarganes Arnp PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2108453) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moises Dobarganes Arnp PA was last updated on August 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.