FRED MOLINE
NPI 1649971334
Nurse Practitioner - Psychiatric/Mental Health in Tampa, FL

Active since March 10, 2023PECOS EnrolledAccepts Medicare Assignment
5510 N HESPERIDES ST, TAMPA, FL 33614(813) 467-6111 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2026, Apr 3, 2023, Mar 10, 2023 (3 updates tracked since 2023).

About Fred Moline NPPES

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

FRED MOLINE (NPI 1649971334) is an individual psychiatric/mental health provider in Tampa, Florida, licensed in Florida (11025185) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649971334
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFRED MOLINE
Location Address5510 N HESPERIDES STTampa, FL 33614-5414
Mailing Address200 S Andrews Ave Ste 504Fort Lauderdale, FL 33301-2066 · (305) 927-6073
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 10, 2023
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1649971334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · 11025185
5510 N HESPERIDES ST, Tampa, FL 33614

Secondary Practice Locations 3

Location 1200 S Andrews Ave Ste 504Fort Lauderdale, FL 33301-2066 · Phone (754) 330-3969
Location 2975 Arthur Godfrey RdMiami Beach, FL 33140-3329 · Phone (305) 490-1989
Location 3450 NE 160th TerNorth Miami Beach, FL 33162-4339 · Phone (305) 927-6073

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Fred Moline 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 ID1658736319
PECOS Enrollment IDI20230502001434, I20250502002976
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 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.

Psychiatry & Neurology (Geriatric Psychiatry)
5510 N HESPERIDES ST
TAMPA, FL 33614
Psychologist (Counseling)
5510 N HESPERIDES ST
TAMPA, FL 33614
Clinic/Center (Health Service)
5510 N HESPERIDES ST
TAMPA, FL 33614
Nurse Practitioner (Family)
5510 N HESPERIDES ST
TAMPA, FL 33614
Nurse Practitioner (Psychiatric/Mental Health)
5510 N HESPERIDES ST
TAMPA, FL 33614
Nurse Practitioner (Psychiatric/Mental Health)
5510 N HESPERIDES ST
TAMPA, FL 33614
Psychologist
5510 N HESPERIDES ST
TAMPA, FL 33614
Nurse Practitioner (Psychiatric/Mental Health)
5510 N HESPERIDES ST
TAMPA, FL 33614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649971334, enumerated as an "individual" on March 10, 2023.

The provider is located at 5510 N HESPERIDES ST TAMPA, FL 33614 and the phone number is (813) 467-6111.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.