Individual provider Active NPI

Yandi Montes de Oca Moreno

  • Family Nurse Practitioner
  • Windcrest, TX
National Provider Identifier
1083479950
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1082587 Issued in TX
Practice address
5245 Walzem Rd
Windcrest, TX 78218-2122
Phone
(210) 654-9700
Fax
(210) 660-1414
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 1082587 TX Primary

Addresses

Primary practice location

5245 Walzem Rd
Windcrest, TX 78218-2122

Mailing address

5245 Walzem Rd
Windcrest, TX 78218-2122
Phone (210) 654-9700

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
I20251223000324 TX Practitioner - Nurse Practitioner 4082109053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5245 Walzem Rd
Windcrest, TX 78218-2122
Phone (210) 654-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1082587TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montes Moreno Healthcare Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

2900 N Big Spring St
Midland, TX 79705
Phone (432) 262-0535

1516 N Grandview Ave
Ste A
Odessa, TX 79761
Phone (432) 614-5555

5245 Walzem Rd
Windcrest, TX 78218
Phone (210) 654-9700

Organizations & group practices 1

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1083479950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182122",
            "telephone_number": "210-654-9700",
            "fax_number": "210-660-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182122",
            "telephone_number": "210-654-9700",
            "fax_number": "210-660-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES DE OCA MORENO",
        "first_name": "YANDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1082587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

Verify at the official NPI Registry.