Individual provider Active NPI

Maria J Moreno, APN

  • Nurse Practitioner
  • Batavia, IL
National Provider Identifier
1609350032
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209018202 Issued in IL
Practice address
1180 W Wilson St Ste E
Batavia, IL 60510-7693
Phone
(630) 879-5700
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209018202 IL Primary

Addresses

Primary practice location

1180 W Wilson St Ste E
Batavia, IL 60510-7693

Mailing address

1180 W Wilson St Ste E
Batavia, IL 60510-7693
Phone (630) 879-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181114001655 IL Practitioner - Nurse Practitioner 2264786060 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
Group practices
Fox Valley Medical Associates, LTD.Group PAC ID 4183525454, 14 clinicians

Practice addresses (Care Compare)

1180 W Wilson St E
Batavia, IL 60510-7693
Phone (630) 879-5700

Hospital & facility affiliations

  • Best Care Home Health, Inc. Home health agency, Lincolnwood, IL, CCN 147623
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Medical Associates, LTD. CurrentSince Sep 23, 2018 Accepting new patients

Locations

2020 Ogden Ave
Ste 140
Aurora, IL 60504
Phone (630) 851-1144

1180 W Wilson St
Ste E
Batavia, IL 60510
Phone (630) 879-5700

Interoperability endpoints

  • Direct secure messaging: maria.moreno@fvma.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAJCDD

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.

Hospital & facility affiliations 6

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1609350032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 W WILSON ST STE E",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107693",
            "telephone_number": "630-879-5700",
            "fax_number": "630-879-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W WILSON ST STE E",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107693",
            "telephone_number": "630-879-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MARIA",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

Verify at the official NPI Registry.