JESSICA LEE MOORE APRN
NPI 1972167450
Nurse Practitioner in Jacksonville, FL

Q: What is Jessica Moore's NPI number?

The NPI number for Jessica Moore is 1972167450. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Q: What is Jessica Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Moore was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 30, 2019PECOS Enrolled

3900 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 222-6656 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jessica Lee Moore Aprn NPPES

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

JESSICA LEE MOORE APRN (NPI 1972167450) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (11002259) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972167450

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA LEE MOORECredential: APRN

Location Address3900 UNIVERSITY BLVD SJacksonville, FL 32216-4331

Mailing Address1415 1st St N Apt 1001Jacksonville Beach, FL 32250-8309 · (904) 899-2349

Phone(904) 222-6656

Sole ProprietorNo

Enumeration DateApril 30, 2019

✔ NPI 1972167450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11002259

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3900 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lee Moore Aprn 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.

Medicare Billing Reassignment

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

Ashchi Heart & Vascular Center PA

Same address

Interventional Cardiology

3900 UNIVERSITY BLVD S, SUITE A
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
15 clinicians in this Medicare group

NPI 1447635834 (904) 222-6656

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 15

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

DR. MINNSUN KOH PARK M.D.

Internal Medicine (Cardiovascular Disease)