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TONY L. MOFFITT NP
NPI 1417924754
Nurse Practitioner in Lakeland, FL

Active since March 07, 2006PECOS Enrolled
3810 DRANE FIELD RD, UNIT 15, LAKELAND, FL 33811(863) 646-8468(863) 533-0333 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tony L. Moffitt Np NPPES

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

TONY L. MOFFITT NP (NPI 1417924754) is an individual nurse practitioner in Lakeland, Florida, licensed in Florida (ARNP1871332) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417924754
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTONY L. MOFFITTCredential: NP
Location Address3810 DRANE FIELD RD, UNIT 15Lakeland, FL 33811-1204
Mailing Address1624 King James CtLakeland, FL 33813-2923 · (863) 670-0114
Phone(863) 646-8468
Fax(863) 533-0333
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1417924754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP1871332
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3810 DRANE FIELD RD, Lakeland, FL 33811
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINP30953FL
Medicare ID-Type UnspecifiedE5490BFL · Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tony L. Moffitt Np 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 Tony Moffitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Physicians Inc
161 mi
Emergency Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group
NPI 1285686675 (904) 396-5682

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 33811 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.

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 Tony Moffitt's NPI number?

The NPI number for Tony Moffitt is 1417924754. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Tony Moffitt located?

Tony Moffitt practices at 3810 Drane Field Rd Unit 15, Lakeland, FL 33811. The listed phone number is (863) 646-8468.

What is Tony Moffitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tony Moffitt enrolled in Medicare?

Yes. Tony Moffitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tony Moffitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Moffitt reassigns Medicare benefits to Emergency Physicians Inc (Jacksonville, 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 Tony Moffitt'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 Tony Moffitt was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.