Stacia Lark Moreno, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R225927 Issued in MD

Practice address

1501 Division St
Baltimore, MD 21217-3121

Phone

(410) 383-8300

NPI assigned

Feb 2, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Health Care IncGroup PAC ID 0446258487, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

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.

• Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1972597425
  Medicare reassignment Care Compare group NPD
• Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1801880315
  NPD
• Total Health Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MD
  • NPI 1225857378
  NPD
• Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1013902485
  NPD (past)
• Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Odenton, MD
  • NPI 1881439958
  NPD (past)

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1629774567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7789 ARUNDEL MILLS BLVD APT 311",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762020",
            "telephone_number": "443-600-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DIVISION ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173121",
            "telephone_number": "410-383-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "STACIA",
        "middle_name": "LARK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R225927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constancia Moreno
• Hannah Moreno
• Judy Aivette Moreno, CRNP-FAMILY
• Michael Leonowich Moreno, D.M.D
• Paola Moreno
• Ariana Moretz
• Gloria Fern Moretz, FNP CRNP
• Stephanie Morfessis, CF-SLP
• Anne Justina Morgan Chopra, DDS
• Morgan State University (Morgan State Sports Medicine and Rehabilitation)

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.