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Active NPI 1396168118 Individual Practitioner Female Practitioner

Mandy Lynn Moore , ARNP

Nurse Practitioner • Clermont, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mandy Moore, ARNP is a certified Nurse Practitioner practicing in Clermont, FL. With approximately 13 years of clinical experience since graduating from University Of South Florida College Of Medicine in 2013, Mandy Moore delivers high-quality medical care to the local community at 1920 DON WICKHAM DRIVE.

Mandy Moore is affiliated with Leavitt Medical Associates Of Florida Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1920 Don Wickham Drive
Suit 330

Clermont, FL 34711

Telephone 3522414298
Fax 3522417620
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Clermont, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +3.7 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Clermont, FL (8990 Statewide)

Telehealth Adoption Rate
13.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (13 Years) 13 Yrs
Clermont Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
663 528 $318.00 $74.99
17003 Destruction of precancer skin growth, 2-14 growths
493 112 $25.00 $5.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
242 189 $446.00 $105.93
17110 Destruction of up to 14 skin growths
236 199 $420.00 $89.56
17000 Destruction of skin growth
186 160 $245.00 $42.91
11102 Tangential biopsy of single skin lesion
126 115 $380.00 $71.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
102 102 $393.00 $92.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
64 61 $201.00 $46.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
47 47 $582.00 $139.01
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
28 25 $513.00 $103.11
11103 Biopsy of related skin growth, each additional growth
23 18 $189.00 $40.55
99202 New patient office or other outpatient visit, typically 20 minutes
20 20 $258.00 $58.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
20 11 $4.00 $0.95
11200 Removal of skin tag, 1-15 skin tags
15 15 $328.00 $52.85
13101 Complicated repair of wound of trunk, 2.6-7.5 cm
13 12 $1464.00 $310.56
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less
13 11 $363.00 $75.34
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
12 11 $519.00 $112.64
11900 Injection into skin growth, 1-7 growths
11 11 $207.00 $42.65

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9207746

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
012103300 (FL)

Hospital & Practice Group Affiliations

Leavitt Medical Associates Of Florida Inc

2757 Citrus Tower Blvd, Clermont, FL 347116699

Phone: 3522414198

Leavitt Medical Associates Of Florida Inc

1503 Buenos Aires Blvd, The Villages, FL 321596825

Phone: 3527532812

Leavitt Medical Associates Of Florida Inc

1410 W Broadway St, Oviedo, FL 327656472

Phone: 4073592100

Leavitt Medical Associates Of Florida Inc

1920 Don Wickham Dr, Clermont, FL 347111978

Phone: 3522414298

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1285742007

Doctor of Medicine (M.D.)

NPI 1447593686

Doctor of Osteopathic Medicine (D.O.)

Sara Morillo , PA-C

Physician Assistant

NPI 1528541166

Physician Assistant (Certified)

Maria Moreno Cabasos , NP

Nurse Practitioner

NPI 1780148346

Nurse Practitioner

Erika Petronaci , ARNP

Nurse Practitioner

NPI 1912192444

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2016

Registered at 1920 DON WICKHAM DRIVE, SUIT 330, CLERMONT, FL 34711 (Tel: 3522414298)

📍
Updated Business Mailing Address April 05, 2016

Registered at 151 SOUTHHALL LANE, SUITE 300, MAITLAND, FL 32751 (Tel: 4078752080)

👤
Provider Name / Credentials Updated April 05, 2016

Recorded as MANDY MOORE, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2016

Nurse Practitioner (License #ARNP9207746 in FL)

🟢
Initial NPI Registration & Enumeration January 30, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396168118
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2014
Last Update: April 05, 2016
Sole Proprietor: No

Mailing Address

151 Southhall Lane, Suite 300

Maitland, FL 32751

Phone: 4078752080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.