Individual provider Active NPI

Cynthia P Moreno, CNP

  • Family Medicine Physician
  • Silver City, NM
National Provider Identifier
1215209481
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CNP-01903 Issued in NM
Practice address
1007 N Pope St
Hidalgo Medical Services
Silver City, NM 88061-5161
Phone
(575) 388-1511
Fax
(575) 542-2388
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CNP-01903 NM Primary

Addresses

Primary practice location

1007 N Pope St
Hidalgo Medical Services
Silver City, NM 88061-5161

Mailing address

530 Demoss Street
Lordsburg, NM 88045-2618
Phone (575) 542-8384

Other identifiers 3

IdentifierTypeStateIssuer
22559558MedicaidNM
85-0292834OtherTAX ID
NMA102160OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20120710000573 NM Practitioner - Nurse Practitioner 7416112800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila Regional Medical CenterGroup PAC ID 9931006319, shared by 3 NPIs, 18 clinicians

Practice addresses (Care Compare)

1313 E 32ND St
Silver City, NM 88061-7251
Phone (505) 537-4953

Hospital & facility affiliations

  • Amercare Home Health Care Corporation Home health agency, Silver City, NM, CCN 327061
  • Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-01903NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Regional Medical Center CurrentSince May 8, 2019 Accepting new patients
Gila Regional Medical Center Family Medicine Past Accepting new patients

Locations

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

1260 E 32nd St
Silver City, NM 88061
Phone (505) 388-1561

3185 N Leslie Rd
Silver City, NM 88061
Phone (505) 388-3393

Interoperability endpoints

  • Direct secure messaging: cynthia.moreno.1@12922.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1215209481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DEMOSS STREET",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-8384",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N POPE ST",
            "address_2": "HIDALGO MEDICAL SERVICES",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615161",
            "telephone_number": "575-388-1511",
            "fax_number": "575-542-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CYNTHIA",
        "middle_name": "P",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "CNP-01903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22559558",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "85-0292834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NMA102160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.