Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Mary Sue Moore, PMHNP

Individual provider Family Nurse Practitioner · NPI 1508221284

MS. Mary Sue Moore, PMHNP is a Nurse Practitioner in Port St Joe, Florida. Qualified in 2018, 8 years ago. Practices with Pancare of Florida, Inc, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2015
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

401 Cecil G Costin Sr Blvd
Port St Joe, FL 32456-1928
Phone: (850) 229-1043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20370 Ne Burns Ave, Blountstown, FL 32424-1045 — (850) 674-5411

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9162481 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9162481 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN9162481 (FL)

Record details

NPI number1508221284
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedDecember 22, 2015
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pancare Of Florida, Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port St Joe