MR. JESUS SANTOS MORENO (FNP-C) – Family Nurse Practitioner, NPI 1033779590
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. JESUS SANTOS MORENO (FNP-C)
101 RIVERFRONT BLVD STE 710
BRADENTON, FL 342058812
Phone: (941) 776-4000
Type: Mailing
4700 N HABANA AVE STE 505
TAMPA, FL 336147120
Phone: (866) 553-6755
Fax: (407) 942-8996
Type: Location
5 Tee Box, East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33620, United States
TAMPA, FL 336822969
Phone: (813) 866-0930
Fax: (813) 405-3722
Type: Mailing
North Dale Mabry Highway, Tampa, Hillsborough County, Florida, 33614, United States
TAMPA, FL 336143220
Phone: (813) 397-5300
Fax: (813) 405-3938
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 168 Open Payments records for all available years, with a total value of $3,914.
Total Amount is formed as General ($3,914) + Research ($0) + Ownership ($0) = $3,914.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($670).
Total Amount
$3,914
General + Research + Ownership
Payments
168
Total payment records
General Amount
$3,914
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190801003323 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NV |
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