Individual provider

Ronnie Moore

Nurse Practitioner Adult Health Nurse Practitioner Gerontology Nurse Practitioner Medicare enrolled

Ronnie Moore is a Psychiatric/Mental Health Nurse Practitioner in Lakeland, FL, registered under NPI 1134603020. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3030 HARDEN BLVD, Lakeland, FL 33803. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3030 HARDEN BLVD, Lakeland, FL 33803 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9275253 FL Nurse Practitioner
9275253 FL Adult Health Nurse Practitioner
9275253 FL Gerontology Nurse Practitioner
APRN9275253 FL Psychiatric/Mental Health Nurse… primary

This provider holds licence 9275253 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
7810387131
Enrollment ID
I20211201000058

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363L00000X Nurse Practitioner 9275253 FL
363LA2200X Adult Health Nurse Practitioner Adult Health 9275253 FL
363LG0600X Gerontology Nurse Practitioner Gerontology 9275253 FL
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health APRN9275253 FL primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1134603020 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 18, 2018
Last updatedJul 28, 2022
StatusActive
Sole proprietorNo
GenderMale
Practice address 3030 HARDEN BLVD
Lakeland, FL 33803
(863) 687-1222
Fax (863) 603-6546
Mailing address 1324 LAKELAND HILLS BLVD MANAGED CARE DEPT
Lakeland, FL 33805
The last update on file is Jul 28, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1134603020 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 3 4 6 0 3 0 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 6 4 3 0 6 0 4

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1134603020?
NPI 1134603020 is the National Provider Identifier assigned to Ronnie Moore in Lakeland, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Ronnie Moore?
The phone number on file with NPPES is (863) 687-1222, last updated Jul 28, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ronnie Moore accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1134603020 a valid number?
Yes. 1134603020 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.