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DR. BLAKE MOSER D.C.
NPI 1467778761
Chiropractor in Jacksonville, FL

Active since April 12, 2010
12086 FORT CAROLINE RD, SUITE 302, JACKSONVILLE, FL 32225(904) 564-2500(904) 564-2566 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Blake Moser D.c. NPPES

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

DR. BLAKE MOSER D.C. (NPI 1467778761) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (CH 9926) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1467778761
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BLAKE MOSERCredential: D.C.
Location Address12086 FORT CAROLINE RD, SUITE 302Jacksonville, FL 32225-2687
Mailing Address12086 Fort Caroline Rd, Suite 302Jacksonville, FL 32225-2687 · (904) 564-2500 · Fax (904) 564-2566
Phone(904) 564-2500
Fax(904) 564-2566
Sole ProprietorNo
Enumeration DateApril 12, 2010
Last NPPES UpdateFebruary 15, 2011
✔ NPI 1467778761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH 9926
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12086 FORT CAROLINE RD, Jacksonville, FL 32225
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake Moser D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Jax Spine & Rehab PLLC
5.1 mi
Chiropractor
13475 ATLANTIC BLVD STE 28
Jacksonville, FL 32225
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1346594322 (904) 333-6164
Julington Creek Chiropractic & Wellness Center PA
19 mi
Chiropractor
465 STATE ROAD 13, SUITE 11
Jacksonville, FL 32259
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1477768166 (904) 230-0080

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

Other Providers at the Same Location NPPES 15

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

DR. KIA MICHON MITCHELL M.D.
Family Medicine
12086 FORT CAROLINE RD, STE 401
JACKSONVILLE, FL 32225
Duval County (904) 565-1271
AKIRA TAVERAS
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Duval County (904) 415-1609
ARIANNA MCWILLIAMS
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Duval County (904) 415-1609
WILLIAM DEWEY LEE III PA
Physician Assistant (Medical)
12086 FORT CAROLINE RD, STE # 401
JACKSONVILLE, FL 32225
Duval County (904) 565-1271
KIAYA LAGA
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Duval County (904) 415-1609
DR. IRIVELISSE STEVENS PORTER DMD
Dentist (General Practice)
12086 FORT CAROLINE RD, SUITE 105
JACKSONVILLE, FL 32225
Duval County (904) 807-9127
DR. PAUL SCHLOTH DMD
Dentist
12086 FORT CAROLINE RD, SUITE 105
JACKSONVILLE, FL 32225
Duval County (904) 807-9127
KAITLIN ANNE RAY ARNP
Nurse Practitioner (Pediatrics)
12086 FORT CAROLINE RD, 401
JACKSONVILLE, FL 32225
Duval County (904) 565-1271

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 Blake Moser's NPI number?

The NPI number for Blake Moser is 1467778761. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Blake Moser located?

Blake Moser practices at 12086 Fort Caroline Rd Suite 302, Jacksonville, FL 32225. The listed phone number is (904) 564-2500.

What is Blake Moser's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Blake Moser enrolled in Medicare?

Yes. Blake Moser is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Blake Moser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Moser reassigns Medicare benefits to 2 organizations: Jax Spine & Rehab PLLC (Jacksonville, FL) and Julington Creek Chiropractic & Wellness Center PA (Jacksonville, FL). 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 Blake Moser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Moser accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Providence Health Plan and Wellpoint list Blake Moser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Moser was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.