Doctor profile · Federal record

Dr. Andrea Moreno-Lackman, ARNP

Nurse Practitioner · Jacksonville, FL

  • NPI 1689984106
  • Accepts Medicare
  • MIPS 76.2 / 100 · 2023
  • 14 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4500 San Pablo RD S
Jacksonville, FL 32224
(904) 953-2000

Credentials & registration

NPPES · NUCC
NPI registered
October 2010 — 16 yrs on file
Profile last updated
October 5, 2020
Year of graduation
2012 — 14 yrs since
Specialty taxonomy
363L00000X — NUCC code
State license (1)
Florida #ARNP9348867

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1689984106. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
58
Distinct HCPCS
3
Medicare allowed
$3,794
HCPCS Description Services Patients Avg allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 21 21 $112
99281 Emergency department visit for problem that may not require health care professional 20 20 $11
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 17 17 $72

In context: peer comparison

Among 215 peers in Jacksonville Nurse Practitioner, average services per provider: 234. This provider delivers 0.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
11
Patients
0
Total drug cost
$139
Drug Type Claims Patients Total cost
Clopidogrel (Clopidogrel Bisulfate) Brand 11 0 $139

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Andrea Moreno-Lackman's medical specialty?
Dr. Andrea Moreno-Lackman practices Nurse Practitioner in Jacksonville, FL.
Where does Dr. Andrea Moreno-Lackman practice?
Dr. Andrea Moreno-Lackman practices at 4500 San Pablo RD S, Jacksonville, FL 32224. Office phone: 9049532000.
What is Dr. Andrea Moreno-Lackman's NPI?
Dr. Andrea Moreno-Lackman's National Provider Identifier (NPI) is 1689984106, issued by NPPES.
Does Dr. Andrea Moreno-Lackman accept Medicare assignment?
Yes. Dr. Andrea Moreno-Lackman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Andrea Moreno-Lackman commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Emergency department visit for problem that may not require health care professional (HCPCS 99281); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.