Active NPI
Carlos X Moreno, CRNA
- Certified Registered Nurse Anesthetist
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041353932
- Practice address
- 520 Valley View Dr
Moline, IL 61265-6152 - Phone
- (309) 762-3621
- NPI assigned
- Aug 30, 2011
- Last updated
- Mar 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: No
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209008943 | IL | MD | Pain Management Registered Nurse |
| 041353932 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics, PC | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Valley Pain Care Centers LTD | Current | Accepting new patients | |
| Genesis Medical Center, Aledo | Current | Accepting new patients | |
| Genesis Medical Center, Aledo | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Pri Chicago PLLC | Current | Accepting new patients | |
| Premiere Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Anesthesia Associates, LTD | Current | Accepting new patients | |
| Ora Orthopedics PC | Nurse Practitioner | Current | 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
- 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.
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
dba MercyOne Genesis Aledo Medical Center
- Critical Access Hospital
- Aledo, IL
- NPI 1225380967
-
dba Hammond Henry Hospital
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
- Certified Registered Nurse Anesthetist
- Park Ridge, IL
- NPI 1720467392
Nurse Anesthetist, Certified Registered
-
- Pain Medicine Physician
- Dekalb, IL
- NPI 1194722058
-
- Certified Registered Nurse Anesthetist
- Moline, IL
- NPI 1265051817
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1205282019
-
- Anesthesiology Physician
- Woodstock, IL
- NPI 1669471017
-
dba CGH Medical Center-Morrison
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
dba MercyOne Genesis Aledo Medical Center
- Critical Access Hospital
- Aledo, IL
- NPI 1427301308
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba Jackson County Regional Health Center
- Critical Access Hospital
- Maquoketa, IA
- NPI 1912960758
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.