Individual provider Active NPI

Emily Renee Moreno, FNP

  • Nurse Practitioner
  • Parker, CO
National Provider Identifier
1396098562
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.997112-NP Issued in CO
Practice address
9399 Crown Crest Blvd Ste 240
Parker, CO 80138-8571
Phone
(720) 330-1310
Fax
(720) 452-2082
NPI assigned
Oct 24, 2012
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 599565 CA
Nurse Practitioner 363L00000X APN.997112-NP CO Primary
Registered Nurse 163W00000X 1678229 CO
Pediatric Nurse Practitioner 363LP0200X 0997112-NP CO
Pediatric Nurse Practitioner 363LP0200X 22468 CA
Family Nurse Practitioner 363LF0000X 0997112-NP CO

Addresses

Primary practice location

9399 Crown Crest Blvd Ste 240
Parker, CO 80138-8571

Mailing address

9399 Crown Crest Blvd Ste 240
Parker, CO 80138-8571
Phone (720) 330-1310

Other identifiers 6

IdentifierTypeStateIssuer
1678229OtherCORN
0106141-NPOtherCORXN
22468OtherCANURSE PRACTITIONER FURNISHING/ CERTITFICATE
0997112-NPOtherCONURSE PRACTITIONER/APN
599565OtherCAMEDICAL LICENSE
1396098562OtherCANPI NUMBER

Other names 1

  • Emily Renee Cusick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20211230001421 CO Practitioner - Nurse Practitioner 3971755778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4975

9399 Crown Crest Blvd
Parker, CO 80138-8571

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1678229COMDRegistered Nurse
0997112-NPCOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Feb 24, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 24, 2025 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

950 E Harvard Ave
Ste 550
Denver, CO 80210
Phone (303) 269-2920

9399 Crown Crest Blvd
Ste 240
Parker, CO 80138
Phone (303) 649-3560

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1396098562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 240",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388571",
            "telephone_number": "720-330-1310",
            "fax_number": "720-452-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 240",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388571",
            "telephone_number": "720-330-1310",
            "fax_number": "720-452-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "EMILY",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "599565",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.997112-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1678229",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "0997112-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "22468",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0997112-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "1678229",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RXN",
            "identifier": "0106141-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER FURNISHING/ CERTITFICATE",
            "identifier": "22468",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER/APN",
            "identifier": "0997112-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "599565",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1396098562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CUSICK",
            "middle_name": "RENEE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.