MRS. VIVARIAN NICOLE MOULTON FNP-C
NPI 1558089607
Nurse Practitioner - Family in Plant City, FL
About Mrs. Vivarian Nicole Moulton Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. VIVARIAN NICOLE MOULTON FNP-C (NPI 1558089607) is an individual family provider in Plant City, Florida, licensed in Florida (APRN11021420) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Vivarian Nicole Moulton Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Hospital
Acute Care Hospitals · Tampa, FLTampa General Hospital
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLANT CITY, FL 33563
PLANT CITY, FL 33563
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 Vivarian Moulton's NPI number?
The NPI number for Vivarian Moulton is 1558089607. It was assigned to this individual provider in the NPPES registry on August 16, 2022.
Where is Vivarian Moulton located?
Vivarian Moulton practices at 1408 W Reynolds St, Plant City, FL 33563. The listed phone number is (813) 321-4351.
What is Vivarian Moulton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Vivarian Moulton enrolled in Medicare?
Yes. Vivarian Moulton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Vivarian Moulton affiliated with any hospitals?
According to CMS data, Vivarian Moulton is affiliated with St Josephs Hospital and Tampa General Hospital.
When was this NPI record last updated?
The NPPES record for Vivarian Moulton was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Mrs. Vivarian Nicole Moulton, FNP-C · NPI 1558089607
Family physician in Plant City, Florida. Individual provider, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1558089607 (Entity type: Individual)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11021420 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1408 W REYNOLDS ST, Plant City, FL 33563-4361
- **Phone:** (813) 321-4351
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 12, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1558089607) · Data from the CMS NPPES public registry.