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ETHAN MOSS
NPI 1972336683
Nurse Practitioner - Psychiatric/Mental Health in Clermont, FL

Active since August 20, 2024PECOS EnrolledAccepts Medicare Assignment
210 N HIGHWAY 27 STE 4, CLERMONT, FL 34711(352) 988-6673 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ethan Moss NPPES

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

ETHAN MOSS (NPI 1972336683) is an individual psychiatric/mental health provider in Clermont, Florida, licensed in Florida (11034243) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972336683
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameETHAN MOSS
Location Address210 N HIGHWAY 27 STE 4Clermont, FL 34711-2411
Mailing Address210 N Highway 27 Ste 4Clermont, FL 34711-2411
Phone(352) 988-6673
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 20, 2024
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1972336683 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 · 11034243
210 N HIGHWAY 27 STE 4, Clermont, FL 34711
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1100 S Kentucky AveLakeland, FL 33801-5096 · Phone (352) 708-6283 · Fax (352) 363-2496
Location 2858 S Duncan DrTavares, FL 32778-4044 · Phone (352) 708-6283 · Fax (352) 363-2496
Location 31965 S Orange Blossom TrlApopka, FL 32703-7757 · Phone (352) 708-6283 · Fax (352) 363-2496
Location 49100 Conroy Windermere RdWindermere, FL 34786-8431 · Phone (352) 708-6283 · Fax (352) 363-2496

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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

Ethan Moss 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 ID2668912312
PECOS Enrollment IDI20240909001532
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 Ethan Moss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Life Counseling Center
0.1 mi
Mental Health
210 N HIGHWAY 27 STE 4
Clermont, FL 34711
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1033665260 (352) 708-6283

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 34711 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 19

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

MRS. KRYSTIE MOSS
Counselor (Mental Health)
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711
Lake County (352) 708-6283
MEDICAL HOME ALLIANCE LLC
Internal Medicine
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711
Lake County (352) 404-8108
FAMILY LIFE COUNSELING CENTER
Counselor (Mental Health)
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711
Lake County (352) 708-6283
MS. KIM R SMITH LMHC, LPC
Counselor (Professional)
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711
Lake County (352) 708-6283
VANESSA CEDIEL VALENCIA
Marriage & Family Therapist
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711
Lake County (954) 547-3387
NATALIE BRAND MA, LMHC
Counselor (Mental Health)
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711
Lake County (352) 708-6283
CASSANDRA MARIE BURCHFIELD
Marriage & Family Therapist
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711
Lake County (352) 708-6283
KARINA SIMMONS
Counselor (Mental Health)
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711
Lake County (352) 708-6283

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 Ethan Moss's NPI number?

The NPI number for Ethan Moss is 1972336683. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Ethan Moss located?

Ethan Moss practices at 210 N Highway 27 Ste 4, Clermont, FL 34711. The listed phone number is (352) 988-6673.

What is Ethan Moss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ethan Moss enrolled in Medicare?

Yes. Ethan Moss 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 Ethan Moss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Moss reassigns Medicare benefits to Family Life Counseling Center (Clermont, 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 Ethan Moss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Moss accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Ethan Moss 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 Ethan Moss was last updated on August 28, 2024. 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.