Individual provider Active NPI

Rodrigo Moreno, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1063805190
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127108 Issued in TX
Practice address
6100 NE Loop 410
Johns Hopkins Wellness Clinic
San Antonio, TX 78218-5409
Phone
(210) 662-3565
NPI assigned
Mar 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127108 TX Primary

Addresses

Primary practice location

6100 NE Loop 410
Johns Hopkins Wellness Clinic
San Antonio, TX 78218-5409

Mailing address

6100 NE Loop 410
Johns Hopkins Wellness Clinic
San Antonio, TX 78218-5409
Phone (210) 662-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021002716 TX Practitioner - Nurse Practitioner 2466761044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

1150 N Loop 1604
Suite 150
San Antonio, TX 78248-4505
Phone (281) 783-8162

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

14211 Potranco Rd
Suite 100
San Antonio, TX 78253-2130
Phone (281) 783-8162

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

7514 S New Braunfels
Suite 2113
San Antonio, TX 78235-2200
Phone (281) 783-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Jan 1, 2023 Accepting new patients
Next Level MV LLC CurrentSince Jan 1, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Jun 27, 2023 Accepting new patients
Nluc PLLC CurrentSince Jan 1, 2023 Accepting new patients
Next Level MV LLC CurrentSince Jan 1, 2023 Accepting new patients
Nluc PLLC Current Accepting new patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients
Complete Emergency Care la Vernia LLC Past Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

5718 Westheimer Rd
Ste 1800
Houston, TX 77057

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1063805190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 NE LOOP 410",
            "address_2": "JOHNS HOPKINS WELLNESS CLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782185409",
            "telephone_number": "210-662-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 NE LOOP 410",
            "address_2": "JOHNS HOPKINS WELLNESS CLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782185409",
            "telephone_number": "210-662-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "RODRIGO",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.