Individual provider Active NPI

Carlos X Moreno, CRNA

  • Certified Registered Nurse Anesthetist
  • Moline, IL
National Provider Identifier
1760763270
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041353932 Issued in IL
Practice address
520 Valley View Dr
Moline, IL 61265-6152
Phone
(309) 762-3621
NPI assigned
Aug 30, 2011
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209008943 IL
Certified Registered Nurse Anesthetist 367500000X 041353932 IL Primary
Pain Management Registered Nurse 163WP0000X D164283 IA
Pain Management Registered Nurse 163WP0000X 209008943 IL

Addresses

Primary practice location

520 Valley View Dr
Moline, IL 61265-6152

Mailing address

5250 Competition Dr Ste 100
Bettendorf, IA 52722-8837
Phone (635) 322-0971

Other practice location 1

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521

Other practice location 2

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: No
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111205000261 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335314236 Reassigns benefits to 10 organizations
I20220720001982 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335314236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
R Franklin University of Med & Sci/Chicago Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209008943ILMDPain Management Registered Nurse
041353932ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics, PC CurrentSince Jun 1, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Valley Pain Care Centers LTD CurrentSince Apr 7, 2012 Accepting new patients
Genesis Medical Center, Aledo CurrentSince May 16, 2023 Accepting new patients
Genesis Medical Center, Aledo CurrentSince May 16, 2023 Accepting new patients
CGH Medical Center CurrentSince Sep 13, 2019 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Oct 15, 2022 Accepting new patients
Pri Chicago PLLC CurrentSince Jan 11, 2022 Accepting new patients
Premiere Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2018 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Oct 15, 2022 Accepting new patients
CGH Medical Center CurrentSince Sep 13, 2019 Accepting new patients
Anesthesia Associates, LTD CurrentSince Mar 20, 2017 Accepting new patients
Ora Orthopedics PC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Hammond Henry Hospital Past Accepting new patients
Priority Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

5250 Competition Dr
Ste 100
Bettendorf, IA 52722
Phone (563) 449-7000

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

520 Valley View Dr
Ste 300
Moline, IL 61265
Phone (309) 762-1952

100 5th St
Oswego, IL 60543
Phone (630) 449-0085

500 W Golf Rd
Ste 101
Schaumburg, IL 60195
Phone (847) 303-1200

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

1879 N Neltnor Blvd
West Chicago, IL 60185

Interoperability endpoints

  • Direct secure messaging: cmoreno806357@direct.unitypoint.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1760763270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 COMPETITION DR STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228837",
            "telephone_number": "635-322-0971",
            "fax_number": "563-324-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-762-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kish Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601159602",
            "country_code": "US",
            "telephone_number": "815-756-1521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6101 Northwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528061861",
            "country_code": "US",
            "telephone_number": "563-322-0971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CARLOS",
        "middle_name": "X",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209008943",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041353932",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "IA",
            "license": "D164283",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "IL",
            "license": "209008943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.