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JASON ANTHONY MOORE PA-C
NPI 1902325681
Physician Assistant - Medical in Fort Myers, FL

Active since September 14, 2017PECOS Enrolled
13861 PLANTATION RD STE 104, FORT MYERS, FL 33912(239) 225-1306(239) 768-1313 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About Jason Anthony Moore Pa-c NPPES

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

JASON ANTHONY MOORE PA-C (NPI 1902325681) is an individual medical provider in Fort Myers, Florida, licensed in Florida (PAT9110628) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902325681
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJASON ANTHONY MOORECredential: PA-C
Location Address13861 PLANTATION RD STE 104Fort Myers, FL 33912-4342
Mailing Address13861 Plantation Rd Ste 104Fort Myers, FL 33912-4342 · (239) 225-1306 · Fax (239) 768-1313
Phone(239) 225-1306
Fax(239) 768-1313
Sole ProprietorNo
Enumeration DateSeptember 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1902325681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PAT9110628
13861 PLANTATION RD STE 104, Fort Myers, FL 33912
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Anthony Moore Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SETH WILLIAM JELINEK M.D.
Internal Medicine
13861 PLANTATION RD STE 104
FORT MYERS, FL 33912
Lee County (239) 225-1306
MS. VERONICA DIAZ APRN
Nurse Practitioner (Family)
13861 PLANTATION RD STE 104
FORT MYERS, FL 33912
Lee County (239) 225-1306
RAMIN SASSANI D.O.
Internal Medicine
13861 PLANTATION RD STE 104
FORT MYERS, FL 33912
Lee County (239) 225-1306

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 Jason Moore's NPI number?

The NPI number for Jason Moore is 1902325681. It was assigned to this individual provider in the NPPES registry on September 14, 2017.

Where is Jason Moore located?

Jason Moore practices at 13861 Plantation Rd Ste 104, Fort Myers, FL 33912. The listed phone number is (239) 225-1306.

What is Jason Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jason Moore enrolled in Medicare?

Yes. Jason Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Moore was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.