Individual provider Active NPI

Ashley Ann Moreno

  • Nurse Practitioner
  • Silvis, IL
National Provider Identifier
1851042089
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.024330 Issued in IL
Practice address
855 Illini Dr Ste 300
Silvis, IL 61282-2904
Phone
(309) 281-2060
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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 209.024330 IL Primary

Addresses

Primary practice location

855 Illini Dr Ste 300
Silvis, IL 61282-2904

Mailing address

855 Illini Dr Ste 300
Silvis, IL 61282-2904
Phone (309) 281-2060

Other practice location 1

2021 8th St
East Moline, IL 61244-2238
Phone (309) 373-3759

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.moreno@direct.genesishealth.com Direct

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
I20220408001432 IL Practitioner - Nurse Practitioner 5698161149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

202 Picard St
Alpha, IL 61413-5023
Phone (309) 629-4601

855 Illini Dr
Silvis, IL 61282-2904

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.024330ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Apr 18, 2022 Accepting new patients
Genesis Health System Current Accepting new patients
Genesis Health System CurrentSince Apr 18, 2022 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

855 Illini Dr
Ste 300
Silvis, IL 61282
Phone (309) 281-2090

Organizations & group practices 4

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 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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1851042089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ILLINI DR STE 300",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822904",
            "telephone_number": "309-281-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ILLINI DR STE 300",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822904",
            "telephone_number": "309-281-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 8th St",
            "address_purpose": "LOCATION",
            "city": "East Moline",
            "state": "IL",
            "postal_code": "612442238",
            "country_code": "US",
            "telephone_number": "309-373-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.moreno@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "855 Illini Dr Ste 300",
            "city": "Silvis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612822904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.