Individual provider Active NPI

Marcos Santiago Moreno, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1386484889
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11033051 Issued in FL
Practice address
3157 N Alafaya TRL
Orlando, FL 32826-2940
Phone
(239) 690-6906
NPI assigned
May 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11033051 FL Primary

Addresses

Primary practice location

3157 N Alafaya TRL
Orlando, FL 32826-2940

Mailing address

3157 N Alafaya TRL
Orlando, FL 32826-2940
Phone (239) 690-6906

Other practice location 1

5125 Castello Dr
Naples, FL 34103-1902
Phone (813) 590-6717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240812001165 FL Practitioner - Nurse Practitioner 3779021555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLC 446 clinicians

Practice addresses (Care Compare)

3157 N Alafaya TRL
Orlando, FL 32826-2940
Phone (833) 362-7935

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033051FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Aug 27, 2025 Accepting new patients
Lehigh Acres BG Opco LLC CurrentSince Aug 27, 2025 Accepting new patients
Advanced Psychiatric Health Inc CurrentSince Sep 1, 2024 Accepting new patients
Dna Comprehensive Therapy Services, LLC Current Accepting new patients
Partners in Medicine & Surgery, P.a. PastSince Sep 1, 2024 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 986-7442

5125 Castello Dr
Naples, FL 34103
Phone (813) 590-6717

5125 Castello Dr
Ofc
Naples, FL 34103
Phone (813) 540-1466

2910 Maguire Rd
Ste 2002
Ocoee, FL 34761
Phone (407) 287-1664

3157 N Alafaya Trl
Orlando, FL 32826
Phone (407) 215-0095

3157 N Alafaya Trl
Ste 150
Orlando, FL 32826

285 Clyde Morris Blvd
Ste 300
Ormond Beach, FL 32174
Phone (386) 262-1627

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

27716 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 406-4835

Interoperability endpoints

  • Direct secure messaging: marcos.santiago.moreno.1@13142.direct.athenahealth.com

Organizations & group practices 5

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1386484889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262940",
            "telephone_number": "239-690-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262940",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5125 Castello Dr",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341031902",
            "country_code": "US",
            "telephone_number": "813-590-6717",
            "fax_number": "813-990-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO MORENO",
        "first_name": "MARCOS",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11033051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.