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Deactivated NPI 1063491314 Deactivated / Inactive NPI Male Practitioner

John M Moreau , MS ED

Case Manager/Care Coordinator • Daytona Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Moreau has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 14, 2006
NPI Deactivation Date September 27, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

John Moreau, MS ED was a registered Case Manager/Care Coordinator practicing in Daytona Beach, FL. Throughout an active medical career spanning 15 years, John Moreau provided care at the practice location at 1220 WILLIS AVE until profile deactivation on 2021-09-27.

Practice Location & Contact Primary Location

Practice Address

1220 Willis Ave

Daytona Beach, FL 321142810

Telephone 3862361710
Fax 3862363164
Associated Practice Facility / Clinic
🏢 Sma Healthcare Inc Facility NPI 1417939794

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
117 Specialists

Practicing in Daytona Beach, FL (5060 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Heather Haroldson , BA

Case Manager/Care Coordinator

NPI 1700084993

Bachelor of Arts

NPI 1720024011

Licensed Mental Health Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 27, 2021

Record deactivated on September 27, 2021

NPI Profile Active September 14, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2009

Registered at 1220 WILLIS AVE, DAYTONA BEACH, FL 321142810 (Tel: 3862361710)

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Updated Business Mailing Address September 14, 2009

Registered at 3303 TAMARIND DR, EDGEWATER, FL 321416409 (Tel: 3866799776)

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Provider Name / Credentials Updated September 14, 2009

Recorded as JOHN MOREAU, M.S. ED

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2009

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration January 14, 2006

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: 1063491314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2006
Last Update: September 14, 2009
Deactivation Date: September 27, 2021

Mailing Address

3303 Tamarind Dr

Edgewater, FL 321416409

Phone: 3866799776

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.