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HEATHER MOONEYHAN MSN, APN, CNM
NPI 1811426422
Nurse Practitioner - Women's Health in Jacksonville, FL

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
3627 UNIVERSITY BLVD S STE 200, JACKSONVILLE, FL 32216(904) 296-3200 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2025, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Heather Mooneyhan Msn, Apn, Cnm NPPES

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

HEATHER MOONEYHAN MSN, APN, CNM (NPI 1811426422) is an individual women's health provider in Jacksonville, Florida, licensed in Florida (APRN11022977) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2016).

NPPES Registry Identity

NPI1811426422
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameHEATHER MOONEYHANCredential: MSN, APN, CNM
Location Address3627 UNIVERSITY BLVD S STE 200Jacksonville, FL 32216-4256
Mailing Address4149 Lonicera LoopSaint Johns, FL 32259-4537 · (772) 359-8077
Phone(904) 296-3200
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2016
Enumeration DateJune 7, 2017
Last NPPES UpdateDecember 8, 20255 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1811426422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in FL · APRN11022977
3627 UNIVERSITY BLVD S STE 200, Jacksonville, FL 32216
Open in Google Maps ↗

Other Names 1

Former Name (1)Heather Kaup Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Heather Mooneyhan Msn, Apn, Cnm 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 ID1759864697
PECOS Enrollment IDI20260310001939
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 Reassignment

Medicare enrollment records show Heather Mooneyhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diana Health Fl P.A.
301 mi
Obstetrics & Gynecology
1046 MAR WALT DR, SUITE 200
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Diana Health Fl, PA
  • 98 clinicians in this Medicare group
NPI 1194591966 (850) 243-2229

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 32216 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 5

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

TORI MICHELLE CRUIKSHANK APRN
Nurse Practitioner (Women's Health)
3627 UNIVERSITY BLVD S STE 200
JACKSONVILLE, FL 32216
Duval County (904) 296-3200
KRISTINA CAFFEY WHNP-BC
Nurse Practitioner (Women's Health)
3627 UNIVERSITY BLVD S STE 200
JACKSONVILLE, FL 32216
Duval County (904) 296-3200
DR. JAMES ANTHONY REED MD
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S STE 200
JACKSONVILLE, FL 32216
Duval County (904) 296-3200
MACHAELA TREVINO WHNP-BC
Nurse Practitioner (Women's Health)
3627 UNIVERSITY BLVD S STE 200
JACKSONVILLE, FL 32216
Duval County (904) 296-3200
DR. OLUFOLAWE OLAKUNBI BANIGBE
Advanced Practice Midwife
3627 UNIVERSITY BLVD S STE 200
JACKSONVILLE, FL 32216
Duval County (904) 256-3200

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 Heather Mooneyhan's NPI number?

The NPI number for Heather Mooneyhan is 1811426422. It was assigned to this individual provider in the NPPES registry on June 7, 2017. The provider is also known as Heather Kaup Rn.

Where is Heather Mooneyhan located?

Heather Mooneyhan practices at 3627 University Blvd S Ste 200, Jacksonville, FL 32216. The listed phone number is (904) 296-3200.

What is Heather Mooneyhan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Heather Mooneyhan enrolled in Medicare?

Yes. Heather Mooneyhan 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 organization bills Medicare for Heather Mooneyhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Mooneyhan reassigns Medicare benefits to Diana Health Fl P.A. (Fort Walton Beach, FL). The 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 Heather Mooneyhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Mooneyhan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, UnitedHealthcare and Wellpoint list Heather Mooneyhan 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 Heather Mooneyhan was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.