ROBERTA ANNE MOORE ARNP-C
NPI 1629316625
Nurse Practitioner - Adult Health in Lakeland, FL

Q: What is Roberta Moore's NPI number?

The NPI number for Roberta Moore is 1629316625. It was assigned to this individual provider in the NPPES registry on January 25, 2013.

Q: What is Roberta Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Moore was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since January 25, 2013PECOS EnrolledAccepts Medicare Assignment

1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1100 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2024, Jul 13, 2021 (2 updates tracked since 2021).

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About Roberta Anne Moore Arnp-c NPPES

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

ROBERTA ANNE MOORE ARNP-C (NPI 1629316625) is an individual adult health provider in Lakeland, Florida, licensed in Florida (APRN9203856) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629316625

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameROBERTA ANNE MOORECredential: ARNP-C

Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543

Mailing Address13801 Bruce B Downs Blvd, Ste 104Tampa, FL 33613-3911 · (813) 972-5090 · Fax (813) 975-8748

Phone(863) 687-1100

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 25, 2013

Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1629316625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN9203856

1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Roberta Anne Moore Arnp-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.

PECOS PAC ID8123258753

PECOS Enrollment IDI20140227001399

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100157

Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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.

Other Providers at the Same Location NPPES 20

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

CHRISTIAN ABREU-RAMIREZ MD

Internal Medicine (Pulmonary Disease)