Individual provider Active NPI

Sylvia S Moreno, FNP

  • Family Nurse Practitioner
  • Wauconda, IL
National Provider Identifier
1639302615
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001355 Issued in IL
Practice address
604 W Liberty St
Wauconda, IL 60084-3479
Phone
(847) 526-2151
Fax
(847) 526-2017
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277001355 IL Primary

Addresses

Primary practice location

604 W Liberty St
Wauconda, IL 60084-3479

Mailing address

1112 Parker Dr
Schaumburg, IL 60194-4234
Phone (847) 651-1011

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
I20130223000051 IL Practitioner - Nurse Practitioner 8224283239 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Specialists S.C.Group PAC ID 0042206252, 24 clinicians

Practice addresses (Care Compare)

2680 N Il Route 83
Round Lake Beach, IL 60073-4983
Phone (224) 372-7780

604 W Liberty St
Wauconda, IL 60084-3479
Phone (847) 526-2151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277001355ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists, S.C. CurrentSince Apr 1, 2026 Accepting new patients
Family Medicine Specialists of Mount Prospect S C PastSince Apr 1, 2026 Accepting new patients

Locations

2253 N Richmond Rd
McHenry, IL 60051
Phone (847) 526-2151

3801 Running Brook Farm Blvd
McHenry, IL 60051
Phone (815) 344-7741

9700 N Main St
Richmond, IL 60071
Phone (815) 678-4181

2680 State Route 83
Round Lake Beach, IL 60073
Phone (224) 372-7780

604 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151

4000 Il Route 173
Zion, IL 60099
Phone (847) 731-8172

Organizations & group practices 3

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1639302615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 PARKER DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944234",
            "telephone_number": "847-651-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600843479",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "SYLVIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

Verify at the official NPI Registry.