KRISTEN NICOLE MOORE
NPI 1629703319
Nurse Practitioner - Family in Saint Cloud, FL

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment
3704 FANCIFUL CT, SAINT CLOUD, FL 34772(407) 744-2423 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2023, Jul 18, 2022 (2 updates tracked since 2022).

About Kristen Nicole Moore NPPES

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

KRISTEN NICOLE MOORE (NPI 1629703319) is an individual family provider in Saint Cloud, Florida, licensed in Florida (11020848) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kissimmee, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629703319
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN NICOLE MOORE
Location Address3704 FANCIFUL CTSaint Cloud, FL 34772-8239
Mailing Address3704 Fanciful CtSaint Cloud, FL 34772-8239 · (407) 744-2423
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 18, 2022
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1629703319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11020848
3704 FANCIFUL CT, Saint Cloud, FL 34772

Secondary Practice Location 1

Location 11414 E Osceola PkwyKissimmee, FL 34744-1611 · Phone (407) 452-3700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Nicole Moore 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 ID446634497
PECOS Enrollment IDI20220825001437
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 Reassignments

5

Medicare enrollment records show Kristen Moore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
311 SOUTH AVALON PARK BLVD
Orlando, FL 32828
  • Reassigned Medicare billing, Florida enrollment
  • 133 clinicians in this Medicare group
Urgent Care
1820 58TH AVE., UNIT 110
Vero Beach, FL 32966
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
Urgent Care
151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group
Urgent Care
8756 BOYNTON BEACH BLVD, SUITE 150
Boynton Beach, FL 33472
  • Reassigned Medicare billing, Florida enrollment
  • 83 clinicians in this Medicare group
Urgent Care
1205 N UNIVERSITY DR
Coral Springs, FL 33071
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group

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 34772 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 Kristen Moore's NPI number?

The NPI number for Kristen Moore is 1629703319. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Kristen Moore located?

Kristen Moore practices at 3704 Fanciful Ct, Saint Cloud, FL 34772. The listed phone number is (407) 744-2423.

What is Kristen Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristen Moore enrolled in Medicare?

Yes. Kristen Moore 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.

Which organizations bill Medicare for Kristen Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Moore reassigns Medicare benefits to 5 organizations: Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL), Hma/Solantic Joint Venture, LLC (Vero Beach, FL), Solantic Of Jacksonville, LLC (Ponte Vedra, FL), West Boynton Urgent Care, LLC (Boynton Beach, FL) and Solantic/South Florida, LLC (Coral Springs, 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 Kristen Moore'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 Kristen Moore was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.